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Individual

MR. FORREST FONTENOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
1000 SAINT MARY STREET, SCOTT, LA 70583
(337) 235-5216
(337) 235-5217
Mailing address
5416 CAMERON ST, SCOTT, LA 70583-5285
(337) 266-5884
(337) 266-8495

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18484
LA

Other

Enumeration date
08/12/2010
Last updated
06/10/2022
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