Ebony Faulk
Pharmacist in Lafayette, LA. Individual provider (NPI-1).
NPI number1982158069
StatusActive
Last updated in NPPESAug 7, 2016
Details
- NPI
- 1982158069
- Entity type
- Individual (NPI-1)
- Name
- Ebony Faulk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2016
- Last updated
- Aug 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PST.021648 | LA | Yes |
Practice location
2252 Ambassador Caffery PkwyLafayette, LA 70506-3705
Phone 337-780-7745
Mailing address
2252 Ambassador Caffery PkwyLafayette, LA 70506-3705
Phone 337-780-7745
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