Individual
DANIEL M SCARDULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
717 AVENUE G, KENTWOOD, LA 70444-2601
(985) 229-6210
(985) 229-3131
Mailing address
717 AVENUE G, KENTWOOD, LA 70444-2601
(985) 229-6210
(985) 229-3131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14186
LA
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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