Individual
MR. SHANNON BRASSEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
14639 AIRLINE HWY STE 114, GONZALES, LA 70737-6632
(225) 070-4444
(225) 402-4088
Mailing address
14639 AIRLINE HWY STE 114, GONZALES, LA 70737-6632
(254) 070-4442
(225) 402-4088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16221
LA
Other
Enumeration date
08/12/2010
Last updated
01/05/2023
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