CARRIE BANTA MIX

BATON ROUGE, LA
NPI1740492974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: LA  7630)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Mrs. CARRIE BANTA MIX CPHT
13565 HOOPER RD
BATON ROUGE, LA 70818-2912
Phone number: 225-262-6200
Mailing Address
Mrs. CARRIE BANTA MIX CPHT
17463 HEARTHWOOD DR
GREENWELL SPRINGS, LA 70739-5311
Phone number:
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