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Individual

DANIEL ROSS BENOIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2700 JOHNSTON ST, LAFAYETTE, LA 70503-3242
(337) 232-9317
Mailing address
289 SUMMER RIDGE LOOP, SUNSET, LA 70584-5057
(337) 654-5659

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.019842
LA

Other

Enumeration date
05/21/2012
Last updated
09/17/2012
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