NPI 1003402132

Tiffany Lin Mitchell, PHARMD

Practitioner Pharmacist Shreveport, LA

Practice location

Address: 9250 Mansfield Rd, Shreveport, LA 71118-3125
Phone: (318) 686-6311
Mailing address: 8891 Sugarland Dr APT 18203, Shreveport, LA 71115-2847

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 023692 (LA)

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Registry record

NPI: 1003402132
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2020
Record last updated: 13 Dec 2020

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.