Individual
MR. BENJAMIN PAUL BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
219 MACARTHUR DR, ALEXANDRIA, LA 71303-3104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45504
LA
Other
Enumeration date
05/10/2011
Last updated
09/11/2023
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