Individual
BRIDGET ANNE OCTAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12506 HIGHWAY 73, GEISMAR, LA 70734-3209
(225) 677-7607
Mailing address
PO BOX 69, DONALDSONVILLE, LA 70346-0069
(225) 473-3537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13839
LA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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