Individual
MR. DUSTON K STACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
9645 MEADOWDALE DR, BATON ROUGE, LA 70811-2135
(225) 284-2825
(225) 771-8197
Mailing address
9645 MEADOWDALE DR, BATON ROUGE, LA 70811-2135
(225) 284-2825
(225) 771-8197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18599
LA
Other
Enumeration date
12/31/2011
Last updated
12/31/2011
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