Individual
MR. ROY HARRISON FONTENOT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5061 MAIN ST, ZACHARY, LA 70791-3947
(225) 654-1335
Mailing address
40320 PELICAN POINT PKWY, GONZALES, LA 70737-8510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16434
LA
Other
Enumeration date
04/20/2007
Last updated
03/02/2022
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