Individual
DELBERT MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2001 ENTERPRISE BLVD, LAKE CHARLES, LA 70601-7663
(337) 436-4388
Mailing address
2001 ENTERPRISE BLVD, LAKE CHARLES, LA 70601-7663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009118
LA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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