Individual
DUDLEY PELLEGRIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
973 HIGHWAY 90 E, MORGAN CITY, LA 70380-5156
(985) 395-9625
Mailing address
973 HIGHWAY 90 E, MORGAN CITY, LA 70380-5156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.011345
LA
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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