Individual
RUSSELL KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 SUPERIOR AVENUE, BOGALUSA, LA 70427
(985) 735-6536
Mailing address
329 SUPERIOR AVENUE, BOGALUSA, LA 70427
(985) 735-6536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13444
LA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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