Cynthia Provost

NPI 1891913505 - Pharmacist - 183500000X

NPI Details
NPI 1891913505
Gender Female
Enumeration Date 04/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2985 GAUSE BLVD E
SLIDELL LA, 70461-4154, US
Phone (985) 639-1560
Fax (985) 639-1561
Business Location
2985 GAUSE BLVD E
SLIDELL LA, 70461-4154, US
Phone (985) 639-1560
Fax (985) 639-1561
Toxanomy
Taxonomy Code 183500000X
License State Louisiana
License Number 16836
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According to our database, Dr. Cynthia Provost NPI is 1891913505, taxonomy code is 183500000X and license number is 16836, license state is located at Louisiana. Cynthia Provost physically located at 2985 Gause Blvd E, Slidell LA, 70461-4154. NPI Number Cynthia Provost has the Individual type.

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1891913505 NPI number is provided on an as is basis without warranty of any kind. 1891913505 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Provost are for informational purposes only.