Individual
SAMMY H REITZELL JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 8TH ST, COLFAX, LA 71417-1414
(318) 627-5428
(318) 627-4187
Mailing address
615 8TH ST, COLFAX, LA 71417-1414
(318) 627-5428
(318) 627-4187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9968
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9968
LA BOARD OF PHAMACY
LA
Enumeration date
09/27/2005
Last updated
07/08/2007
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