Individual
MATTHEW JOHN BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
904 S RANGE AVE, DENHAM SPRINGS, LA 70726-4802
(225) 665-3237
Mailing address
904 S RANGE AVE, DENHAM SPRINGS, LA 70726-4802
(225) 665-3237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020235
LA
Other
Enumeration date
08/23/2013
Last updated
03/31/2014
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