MELISSA WALLACE

PRAIRIEVILLE, LA
NPI1922687854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.018016)
Enumeration Date2021-04-07
Last Update Date2021-04-07
Business Address
MELISSA WALLACE Rph
40017 LA-42
PRAIRIEVILLE, LA 70769
Phone number: 225-300-6080
Mailing Address
MELISSA WALLACE Rph
43121 BEACON LN
PRAIRIEVILLE, LA 70769-5266
Phone number: 225-253-5884