Individual
MRS. MONICA COURVILLE BORDELON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
202 N CHURCH ST, CARENCRO, LA 70520-3623
(337) 896-8434
(337) 896-4654
Mailing address
705 W BONAIRE DR, LAFAYETTE, LA 70506-6626
(337) 981-4982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13529
LA
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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