Individual
DR. COY BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4710 JOHNSTON ST, LAFAYETTE, LA 70503-4541
(337) 988-7284
Mailing address
231 ISERINGHAUSEN RD, CHURCH POINT, LA 70525-7511
(337) 278-3706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19214
LA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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