Individual
GORDON NORBERT PHILIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
217 SUPERIOR AVE, BOGALUSA, LA 70427-2622
(985) 735-6434
(985) 735-6890
Mailing address
217 SUPERIOR AVE, BOGALUSA, LA 70427-2622
(985) 735-6434
(985) 735-6890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11803
LA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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