Individual
BENJAMIN GANDOLFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 AIRLINE DR, METAIRIE, LA 70001-5646
(504) 885-4867
Mailing address
4501 AIRLINE DR, METAIRIE, LA 70001-5646
(504) 885-4867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020653
LA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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