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Maryam Guirguis

Pharmacist in Youngsville, LA. Individual provider (NPI-1).

NPI number1831554716
StatusActive
Last updated in NPPESDec 21, 2015

Details

NPI
1831554716
Entity type
Individual (NPI-1)
Name
Maryam Guirguis
Sex
Female
Sole proprietor
No
Enumeration date
Dec 21, 2015
Last updated
Dec 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistpct.0012548CTYes
183500000X Pharmacistpst.020903LA

Practice location

2910 E Milton Ave
Youngsville, LA 70592-5379

Phone 337-856-8881

Mailing address

111 Westgate Rd
Lafayette, LA 70506-2710

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