Individual
CALEB PRESTENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1772 CANAL BLVD, THIBODAUX, LA 70301-5225
(985) 447-3746
(985) 447-2853
Mailing address
1772 CANAL BLVD, THIBODAUX, LA 70301-5225
(985) 447-3746
(985) 447-2853
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020716
LA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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