Individual
SCOTT ANTHONY CANDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2517 KALISTE SALOOM RD, LAFAYETTE, LA 70508-6811
(337) 216-9187
Mailing address
2517 KALISTE SALOOM RD, LAFAYETTE, LA 70508-6811
(337) 216-9187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15632
LA
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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