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Individual

DR. KERRELL PATRICK SWEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
2036 LANDRY CT, MERAUX, LA 70075-2852
(504) 481-1954
Mailing address
2036 LANDRY CT, MERAUX, LA 70075-2852
(504) 481-1954

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16042
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16042
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
08/13/2018
Last updated
08/13/2018
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