Individual
BRADLEY JOSEPH GULOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
804 W OAK ST, AMITE, LA 70422-2700
(985) 748-6847
(985) 748-6763
Mailing address
PO BOX 674, INDEPENDENCE, LA 70443-0674
(985) 969-4164
(985) 878-4354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18953
LA
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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