Individual
LARRY JULIEN GUILBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 FUSELIER RD, ARNAUDVILLE, LA 70512-6134
(337) 754-5231
(337) 754-7976
Mailing address
PO BOX 81, CECILIA, LA 70521-0081
(337) 349-1546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009709
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009709
BOARD OF PHARMACY
LA
Enumeration date
07/20/2017
Last updated
07/20/2017
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