Individual
GAYLYN E BELLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5061 MAIN ST, ZACHARY, LA 70791-3947
(225) 654-1335
(225) 654-6195
Mailing address
5061 MAIN ST, ZACHARY, LA 70791-3947
(225) 654-1335
(225) 654-6195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14692
LA
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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