Individual
DAVID CARL LATIOLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH,RPH
Contact information
Practice address
1255 S MCKENZIE ST, FOLEY, AL 36535-1818
(251) 943-1588
Mailing address
1255 S MCKENZIE ST, FOLEY, AL 36535-1818
(251) 943-1588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16654
AL
183500000X
Pharmacist
21586
TX
183500000X
Pharmacist
6390
TN
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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