Mandy Renee Fillingame
Pharmacist in Monroe, LA. Individual provider (NPI-1).
NPI number1003198797
StatusActive
Last updated in NPPESSep 19, 2011
Details
- NPI
- 1003198797
- Entity type
- Individual (NPI-1)
- Name
- Mandy Renee Fillingame
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2011
- Last updated
- Sep 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 19118 | LA | Yes |
Practice location
2901 Sterlington RdMonroe, LA 71203-2513
Phone 318-323-0321
Mailing address
2901 Sterlington RdMonroe, LA 71203-2513
Phone 318-323-0321
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