Individual
CHRISTOPHER JACOB PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1331 HIGHWAY 51, PONCHATOULA, LA 70454-6370
(985) 386-2858
Mailing address
PO BOX 632, PONCHATOULA, LA 70454-0632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020630
LA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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