Individual
BRAD W MONNERJAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D, RPH
Contact information
Practice address
804 W OAK ST, AMITE, LA 70422-2700
(985) 748-6847
(985) 748-6763
Mailing address
2080 ANGELA DR, PONCHATOULA, LA 70454-3762
(504) 231-3536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17812
LA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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