Healthcare Provider Details

I. General information

NPI: 1346189107
Provider Name (Legal Business Name): CINDY HO SANTIAGO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 BELL LN STE 5A
WEST MONROE LA
71291-6303
US

IV. Provider business mailing address

2314 BIENVILLE DR
MONROE LA
71201-2945
US

V. Phone/Fax

Practice location:
  • Phone: 318-998-3018
  • Fax: 318-998-3020
Mailing address:
  • Phone: 318-557-2894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number026189
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: