Individual
RODNEY JAMES FANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3040 GAUSE BLVD E, SLIDELL, LA 70461-4155
(985) 643-5743
(985) 645-9652
Mailing address
3040 GAUSE BLVD E, SLIDELL, LA 70461-4155
(985) 643-5743
(985) 645-9652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10768
LA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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