Provider Demographics
NPI:1467738369
Name:MORALES, CHRISTY LEANN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:LEANN
Last Name:MORALES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-2138
Mailing Address - Country:US
Mailing Address - Phone:318-553-4956
Mailing Address - Fax:318-371-1612
Practice Address - Street 1:1208 HOMER RD
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3082
Practice Address - Country:US
Practice Address - Phone:318-371-1292
Practice Address - Fax:318-371-1612
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist