Individual
EDMOND MELANCON III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
206 N CHURCH ST, CARENCRO, LA 70520-3623
(337) 896-8845
Mailing address
206 N CHURCH ST, CARENCRO, LA 70520-3623
(337) 896-8845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11597
LA
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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