DESHARA LATRICE PHENIX

MONROE, LA
NPI1497395305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.023302)
Additional Taxonomies183500000X Pharmacist
(Licence: TX  65795)
Enumeration Date2020-01-08
Last Update Date2021-12-07
Business Address
DESHARA LATRICE PHENIX PharmD
4070 STERLINGTON RD
MONROE, LA 71203-2536
Phone number: 318-343-3390
Mailing Address
DESHARA LATRICE PHENIX PharmD
PO BOX 4611
MONROE, LA 71211-4611
Phone number: