Individual
MR. MICHAEL THOMAS TINNERELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.D.
Contact information
Practice address
1812 W THOMAS ST, HAMMOND, LA 70401-2945
(985) 320-5175
(984) 345-4768
Mailing address
1812 W THOMAS ST, HAMMOND, LA 70401-2945
(985) 320-5175
(984) 345-4768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14232
LA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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