Cory Lane Collins, PharmD
Pharmacist in Shreveport, LA. Individual provider (NPI-1).
NPI number1851714331
StatusActive
Last updated in NPPESFeb 4, 2014
Details
- NPI
- 1851714331
- Entity type
- Individual (NPI-1)
- Name
- Cory Lane Collins
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2014
- Last updated
- Feb 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 019089 | LA | Yes |
Practice location
6235 Westport AveShreveport, LA 71129-2503
Phone 318-688-7705 · Fax 318-688-7911
Mailing address
6235 Westport AveShreveport, LA 71129-2503
Phone 318-688-7705 · Fax 318-688-7911
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