Individual
JUSTIN SCALFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
137 JACK PINE LN, PONCHATOULA, LA 70454-9427
(985) 778-1352
Mailing address
137 JACK PINE LN, PONCHATOULA, LA 70454-9427
(985) 778-1352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.018787
LA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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