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Individual

SCOTT PATRICK EGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
69320 HIGHWAY 21, T1876, COVINGTON, LA 70433-7220
(985) 875-7916
Mailing address
3278 RANGE CT, MANDEVILLE, LA 70448-8494
(985) 951-8811

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
12549
AL
183500000X
Pharmacist
Primary
16936
LA

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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