Individual
DR. MATTHEW BRENT BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3515 MAIN STREET 165, OLLA, LA 71465-5613
(318) 495-1100
Mailing address
PO BOX 302, URANIA, LA 71480-0302
(318) 548-2316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021539
LA
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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