Individual
THAI CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 470-5500
Mailing address
201 AUSTIN VILLAGE BLVD, LAFAYETTE, LA 70508-6452
(337) 654-7117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015616
LA
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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