Individual
PAUL MATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2124 38TH ST, KENNER, LA 70065-3510
(504) 443-1294
(504) 443-1982
Mailing address
2124 38TH ST, KENNER, LA 70065-3510
(504) 443-1294
(504) 443-1982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017187
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017187
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
11/04/2014
Last updated
01/04/2023
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