Doctor Name: | ZHANNA CULBERTSON |
NPI Number: | 1104109644 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PST.020072 |
Business Practice Address: | 1514 Doctors Dr Bossier City, LA - 711113379 |
Business Phone Number: | 3188416057 |
Business Fax Number: | 3188416058 |
Mailing Address: | 1514 Doctors Dr, BOSSIER CITY |
State: | LA |
Postal Code: | 711113379 |
Phone Number: | 3188416057 |
Fax Number: | 3188416058 |
NPI Enumeration Date: | 09/21/2011 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | PST.020072 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |