Individual
ADRIEL PETER JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 E REYNOLDS DR, RUSTON, LA 71270-2852
(318) 807-1190
(318) 807-2840
Mailing address
2312 OLIVER RD APT 219, MONROE, LA 71201-2967
(318) 537-2683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
020552
KY
183500000X
Pharmacist
42893
TN
183500000X
Pharmacist
Primary
PST.017298
LA
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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