Individual
BRENT V LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1800 W LAUREL AVE, EUNICE, LA 70535-2902
(337) 457-4827
(337) 457-4223
Mailing address
1800 W LAUREL AVE, EUNICE, LA 70535-2902
(337) 457-4827
(337) 457-4223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17440
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017440
RPH LICENSE
LA
Enumeration date
09/15/2010
Last updated
09/15/2010
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