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Individual

KYLE GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
2500 NORTH HIGHWAY 171, LAKE CHARLES, LA 70601
(337) 430-0249
(337) 430-0367
Mailing address
2500 NORTH HIGHWAY 171, LAKE CHARLES, LA 70601
(337) 430-0249
(337) 430-0367

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018199
LA

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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