Individual
QUINTIN GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 W CALIFORNIA AVE, RUSTON, LA 71270-5014
(318) 255-1811
Mailing address
1402 SAINT JOHN AVE, RUSTON, LA 71270-5244
(225) 933-0666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024013
LA
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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