Brandon Corliss, PHARM.D Valid NPI
Individual provider · Pharmacist · Shreveport, LA
- NPI
- 1629496732
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 17718 (LA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-04-04
- Last updated
- 2014-04-04
Practice location
9550 Mansfield Rd
Shreveport, LA 71118-4402
(318) 688-4151