Individual
KEVIN J JUDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, CDM
Contact information
Practice address
9031 SIEGEN LN, BATON ROUGE, LA 70810-1951
(225) 767-1919
Mailing address
1414 WESTCHESTER DR, BATON ROUGE, LA 70810-5236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11056
LA
Other
Enumeration date
07/25/2006
Last updated
07/12/2007
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