Individual
GLYN JOSEPH FOREMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
701 CYPRESS ST STE 4000, SULPHUR, LA 70663-5053
(337) 527-4174
(337) 527-4128
Mailing address
3113 JUG SAYS RD, LAKE CHARLES, LA 70611-3348
(337) 217-3258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.016154
LA
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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