Individual
KEVIN TROY PERRODIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 E ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6710
(337) 367-7979
(337) 367-9122
Mailing address
1716 RYAN AVE, NEW IBERIA, LA 70563-0970
(337) 256-1500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022652
LA
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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