Individual
JANIE LYNN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
3440 HIGHWAY 22, MANDEVILLE, LA 70471
(985) 674-2551
Mailing address
PO BOX 917, LACOMBE, LA 70445-0917
(985) 774-3368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019883
LA
183500000X
Pharmacist
E-12671
MS
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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