TENERICA LASHION MADISON

SHREVEPORT, LA
NPI1447815782
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: TX  65685)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-02
Last Update Date2023-09-13
Business Address
TENERICA LASHION MADISON
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
TENERICA LASHION MADISON
2401 S 31ST ST # MSAG407P
TEMPLE, TX 76508-0001
Phone number: