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Wylie Lee Shores, RPH
Pharmacist in Shreveport, Louisiana
NPI 1245548098

Wylie Lee Shores is a Pharmacist based in Shreveport, LA. Wylie Lee Shores practices in Shreveport, LA and has the professional credentials of RPH. The NPI Number for Wylie Lee Shores is 1245548098 and holds a License No. 13028 (Louisiana).

The current practice location address for Wylie Lee Shores is 745 Shreveport Barksdale Hwy, Shreveport, LA and can be reached out via phone at 318-861-3985.

Location: 745 Shreveport Barksdale Hwy, Shreveport, LA, 71107-9586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245548098
Provider Name
Wylie Lee Shores
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
745 Shreveport Barksdale Hwy, Shreveport, LA, 71107-9586
Phone Number
318-861-3985
Fax Number
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13028 01 LA PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
745 Shreveport Barksdale Hwy
City
Shreveport
State
Louisiana
Zip
71105-2201
Phone Number
318-861-3985
Fax Number
person
Provider Business Mailing Address Details
Address
745 Shreveport Barksdale Hwy
City
Shreveport
State
Louisiana
Zip
71105-2201
Phone Number
318-861-3985
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
13028 (Louisiana)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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