Individual
DARRELL DAIGREPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4444 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2708
(318) 448-9340
(318) 448-9505
Mailing address
4444 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2708
(318) 448-9340
(318) 448-9505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15635
LA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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