Individual
BRYAN E BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 THE BLVD, RAYNE, LA 70578-6134
(337) 334-3399
Mailing address
719 W GLORIA SWITCH RD, LAFAYETTE, LA 70507-2313
(337) 896-3813
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11558
LA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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