Individual
COLLIN JOHN STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
9952 SULLIVAN RD, BATON ROUGE, LA 70818-4300
(225) 262-6200
Mailing address
2250 CHURCH ST, ZACHARY, LA 70791-2707
(225) 658-8101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021650
LA
Other
Enumeration date
08/19/2016
Last updated
01/04/2023
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