Individual
MR. DUANE A DENDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
999 ROBERT BLVD, SLIDELL, LA 70458-2009
(985) 643-7894
(985) 649-2183
Mailing address
208 POINTER LN, PEARL RIVER, LA 70452-6314
(985) 641-0750
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009752
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203932
—
LA
01
—
5489570001
MEDICARE
LA
Enumeration date
12/14/2017
Last updated
12/14/2017
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