Individual
JOHN BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 S PINE ST, DERIDDER, LA 70634-4941
(337) 463-7442
Mailing address
601 S PINE ST, DERIDDER, LA 70634-4941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13181
LA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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