Individual
BRADLEY MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5360 HIGHLAND RD, BATON ROUGE, LA 70808-6548
(225) 757-1023
Mailing address
5360 HIGHLAND RD, BATON ROUGE, LA 70808-6548
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020672
LA
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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