Individual
MR. CHRISTOPHER ALLAN ENTWISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1411 AVENUE D, MARRERO, LA 70072-3837
(504) 421-5157
Mailing address
1411 AVENUE D, MARRERO, LA 70072-3837
(504) 421-5157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014302
LA
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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