Healthcare Provider Details
I. General information
NPI: 1962840462
Provider Name (Legal Business Name): FRANCES KAY CHANDLER B.S., PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/06/2013
Last Update Date: 06/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
504 FINKS HIDEAWAY RD STE 3
MONROE LA
71203-2471
US
IV. Provider business mailing address
504 FINKS HIDEAWAY RD STE 3
MONROE LA
71203-2471
US
V. Phone/Fax
- Phone: 318-343-4777
- Fax: 318-343-4691
- Phone: 318-343-4777
- Fax: 318-343-4691
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PST.014230 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | PST.014230 |
| License Number State | LA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | PST.014230 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: