Shelley Guidry Miller, RPH
Individual provider Active NPI Pharmacist · Duson, LA
NPI 1457084063 · NPPES record last updated Jul 1, 2022
Key facts
- NPI
- 1457084063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PST016319 (LA)
- Practice address
- 7515 Cameron St
Duson, LA 70529-3312 - Phone
- (337) 873-7575
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST016319 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LP Pharmaceuticals, LLC. | Current | Accepting new patients |
Locations
7515 Cameron St
Duson, LA 70529
Phone (337) 298-8230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST016319 | LA | Yes |
Addresses
Primary practice location
7515 Cameron St
Duson, LA 70529-3312
Mailing address
7515 Cameron St
Duson, LA 70529-3312
Phone (337) 873-7575
Other providers in Duson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.