Individual
MR. MALCOLM DEVEREAUX HARE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
916 N PINE ST, DERIDDER, LA 70634-2816
(337) 462-2019
(337) 462-2339
Mailing address
916 N PINE ST, DERIDDER, LA 70634-2816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13518
LA
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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