Individual
JOHN DRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
4344 CHURCH ST, ZACHARY, LA 70791
(225) 654-1175
(225) 654-0132
Mailing address
4344 CHURCH ST, ZACHARY, LA 70791-3102
(225) 654-1175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14599
LA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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