Individual
MATHEW UDO MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
806 ODD FELLOWS RD, CROWLEY, LA 70526-2214
(337) 783-8316
Mailing address
806 ODD FELLOWS RD, CROWLEY, LA 70526-2214
(337) 783-8316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021362
LA
Other
Enumeration date
11/09/2015
Last updated
01/09/2023
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