Individual
MICHAEL ANTHONY ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
601 S PINE ST, DERIDDER, LA 70634-4941
(337) 463-7442
(337) 462-0362
Mailing address
125 RICKY YOUNG RD, DERIDDER, LA 70634-7172
(337) 463-4088
(337) 463-2006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11615
LA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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