Most Relevant Information
Provider Data
| NPI Number: | 1003402132 |
| Provider Name: | TIFFANY LIN MITCHELL PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 023692 |
Most Important Dates
| Enumeration Date: | 12/13/2020 |
| Last Updated: | 12/13/2020 |
Provider Practice Location
9250 MANSFIELD RD
SHREVEPORT
LA
711183125
Practice Location Phone/Fax
| Phone: | 3186866311 |
| Fax: |
Provider Mailing Location
8891 SUGARLAND DR APT 18203
SHREVEPORT
LA
711152847
Provider Mailing Phone/Fax
| Phone: | 5046107140 |
| Fax: |