Individual
ALEXANDRA PELLERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 PARKVIEW DR, NEW IBERIA, LA 70563-2829
(133) 755-1657
Mailing address
1026 SPANISH MOSS LN, BREAUX BRIDGE, LA 70517-6711
(337) 501-0405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024448
LA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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