Fred's Pharmacy #3958
NPI #1043688658 in Lake Providence, Louisiana
Provider Information
- NPI Number
- 1043688658
- Entity Type
- Organization
- Organization Name
- Fred's Pharmacy #3958
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 14, 2015
- Last Updated
- Sep 14, 2015
Practice Location
- Address
- 303 N HOOD ST
- City
- Lake Providence
- State
- Louisiana
- ZIP Code
- 71254-2141
- Phone
- (318) 559-2433
Authorized Official
- Name
- LAURA PERKINS
- Title
- PHARMACIST
- Phone
- (318) 559-2433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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