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Individual

MR. FRANK JOSEPH PETITTO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4918 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4555
(318) 549-2107
(318) 549-2110
Mailing address
4918 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4555
(318) 549-2107
(318) 549-2110

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11802
LA

Other

Enumeration date
05/07/2012
Last updated
05/07/2012
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