SHANNA TIFFANY SIMON

LAKE CHARLES, LA
NPI1508290768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  17723)
Enumeration Date2013-08-23
Last Update Date2013-08-23
Business Address
Mrs. SHANNA TIFFANY SIMON Pharm. D.
899 N HIGHWAY 171
LAKE CHARLES, LA 70611-5034
Phone number: 337-855-4031
Mailing Address
Mrs. SHANNA TIFFANY SIMON Pharm. D.
5457 CHUCK DR
LAKE CHARLES, LA 70605-5272
Phone number: 337-855-4031
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