Most Relevant Information
Provider Data
| NPI Number: | 1003809880 |
| Provider Name: | ASHLEIGH MCINNIS TERRY PD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 16139 |
Most Important Dates
| Enumeration Date: | 08/26/2005 |
| Last Updated: | 04/19/2023 |
Provider Practice Location
1000 WALTERS ST
LAKE CHARLES
LA
706074647
Practice Location Phone/Fax
| Phone: | 3374758521 |
| Fax: | 3374758477 |
Provider Mailing Location
1000 WALTERS ST
LAKE CHARLES
LA
706074647
Provider Mailing Phone/Fax
| Phone: | 3374808273 |
| Fax: | 3374808316 |