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Individual

MRS. PAMELA NICOLE BORDELON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
604 MACARTHUR DR, ALEXANDRIA, LA 71303-3111
(318) 442-5710
(318) 442-4487
Mailing address
604 MACARTHUR DR, ALEXANDRIA, LA 71303-3111
(318) 442-5710
(318) 442-4487

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
12527
AL
183500000X
Pharmacist
Primary
16068
LA
183500000X
Pharmacist
PS30655
FL

Other

Enumeration date
02/09/2012
Last updated
02/09/2012
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