NPI 1003198797

Mandy Renee Fillingame

Practitioner Pharmacist Monroe, LA

Practice location

Address: 2901 Sterlington Rd, Monroe, LA 71203-2513
Phone: (318) 323-0321

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 19118 (LA)

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Registry record

NPI: 1003198797
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2011
Record last updated: 19 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.