Individual
DR. MICHAEL MARLAN MOHUNDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 907-7045
(225) 765-9906
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-8786
(225) 765-9906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017229
LA
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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