Individual
FRED D STOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
412 OLIVE ST, ARNAUDVILLE, LA 70512-6154
(337) 754-7481
Mailing address
PO BOX 299, 412 OLIVE STREET, ARNAUDVILLE, LA 70512-0299
(337) 754-7481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8793
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8793
PHARMACIST LICENSE
LA
Enumeration date
12/14/2011
Last updated
12/14/2011
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