Individual
DANIEL BRIGNAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4998
Mailing address
4131 PERIWINKLE LN, BENTON, LA 71006-8413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17065
LA
183500000X
Pharmacist
39725
TX
Other
Enumeration date
03/06/2007
Last updated
09/05/2023
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