Individual
DR. GERVIS JOSEPH ROBERIE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
4510 AMBASSADOR CAFFERY PKW, 118 GARRIGUE DR, LAFAYETTE, LA 70508-6887
(337) 988-7290
(337) 993-0266
Mailing address
4510 AMBASSADOR CAFFERY PKW, 118 GARRIGUE DR, LAFAYETTE, LA 70508-6887
(337) 948-6191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9293
LA
Other
Enumeration date
03/17/2011
Last updated
03/29/2011
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