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Individual

MR. MATTHEW GIANNOBILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
2758 W 70TH ST, SHREVEPORT, LA 71108-4502
(318) 631-9891
(318) 631-3750
Mailing address
2758 W 70TH ST, SHREVEPORT, LA 71108-4502
(318) 631-9891
(318) 631-3750

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18319
LA

Other

Enumeration date
03/14/2011
Last updated
03/14/2011
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