Individual
DENNIS LUKE ORTEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1210 ALBERTSON PKWY, BROUSSARD, LA 70518-4347
(337) 839-0530
(337) 839-1432
Mailing address
1210 ALBERTSON PKWY, BROUSSARD, LA 70518
(337) 839-0530
(337) 839-1432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9720
LA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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