Individual
MRS. GEORGIA TODD PREJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
924 REES ST, BREAUX BRIDGE, LA 70517-4514
(337) 332-6339
Mailing address
1024 HERMAN DUPUIS RD, BREAUX BRIDGE, LA 70517-8530
(337) 228-2504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
016564
GA
183500000X
Pharmacist
Primary
17326
LA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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