Individual
MR. DAVID TAGGART GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2880 HIGHWAY 190, MANDEVILLE, LA 70471-3254
(985) 624-8548
Mailing address
2880 HIGHWAY 190, MANDEVILLE, LA 70471-3254
(985) 624-8548
(985) 624-4872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14380
LA
183500000X
Pharmacist
Primary
PST.014380
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1894656
—
LA
Enumeration date
07/18/2007
Last updated
12/20/2022
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