Individual
COLTON FLAVIUS SPLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2300 W THOMAS ST, HAMMOND, LA 70401-2830
(985) 345-3448
Mailing address
17387 FUSSELL RD, KENTWOOD, LA 70444-4517
(985) 974-7204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123456789
LA
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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