Individual
PAUL ANTOINE BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6920 PLANK RD, BATON ROUGE, LA 70811-6041
(225) 356-0654
Mailing address
6920 PLANK RD, BATON ROUGE, LA 70811-6041
(225) 356-0654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.013301
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.013301
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
02/22/2018
Last updated
02/22/2018
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