Individual
MR. EMMETT EARL ROULAINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
207 WASHINGTON ST, WEST MONROE, LA 71292-6330
(318) 361-7390
(318) 361-7393
Mailing address
1913 JOHN CIR, MONROE, LA 71201-4507
(318) 323-0548
(318) 361-7393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10714
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10714
LOUISIANA PHARMACIST PERMIT #
LA
Enumeration date
05/24/2008
Last updated
05/24/2008
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