Individual
MR. SHANE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2428 W PINHOOK RD, LAFAYETTE, LA 70508-3345
(337) 231-1953
(337) 231-1962
Mailing address
2428 W PINHOOK RD, LAFAYETTE, LA 70508-3345
(337) 231-1953
(337) 231-1962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014109
LA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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