Individual
MR. PATRICK KENNETH BRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
257 FLORIDA AVE SE, DENHAM SPRINGS, LA 70726-3728
(225) 665-5186
(225) 665-8633
Mailing address
257 FLORIDA AVE SE, DENHAM SPRINGS, LA 70726-3728
(225) 665-5186
(225) 665-8633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11024
LA
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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