Individual
C KEITH PREJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.D.
Contact information
Practice address
2750 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5914
(337) 480-4132
Mailing address
2750 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5914
(337) 480-4132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14201
LA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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