Cory Lane Collins, PHARMD Valid NPI
Individual provider · Pharmacist · Shreveport, LA
- NPI
- 1851714331
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 019089 (LA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-02-04
- Last updated
- 2014-02-04
Practice location
6235 Westport Ave
Shreveport, LA 71129-2503
(318) 688-7705