Individual
CHAD BODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.H.
Contact information
Practice address
731 S MAIN ST, CHURCH POINT, LA 70525-4109
(337) 684-1911
(337) 684-1912
Mailing address
731 S MAIN ST, CHURCH POINT, LA 70525-4109
(337) 684-1911
(337) 684-1912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16380
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16380
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
02/13/2015
Last updated
02/13/2015
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