James Carroll Bruce Valid NPI

Individual provider · Pharmacist · Shreveport, LA

NPI

1235656836

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

0011857 (LA)

Sex

Male

Sole proprietor

No

Enumerated

2017-08-24

Last updated

2017-08-24