Individual
SHANE MICHAEL LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 CURRAN LN, LAFAYETTE, LA 70506-7222
(337) 991-0101
Mailing address
128 CURRAN LN, LAFAYETTE, LA 70506-7222
(337) 991-0101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.017747
LA
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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