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Individual

ANDREW ANTHONY GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., R.PH.

Contact information

Practice address
880 US HWY 190, COVINGTON, LA 70433
(985) 893-9918
Mailing address
880 US HWY 190, PHARMACY DEPARTMENT, COVINGTON, LA 70433
(985) 893-9918
(985) 893-1018

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14404
LA

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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