Individual
PATRICIA DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 E PALMETTO, PLAIN DEALING, LA 71064
(318) 326-4229
Mailing address
146 TWIN POINT DR, BENTON, LA 71006-8701
(318) 349-6669
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12078
OR
183500000X
Pharmacist
Primary
15876
LA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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