Individual
MR. ROLLIE WHEELER FLAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.,
Contact information
Practice address
955 N KADE, LAKE CHARLES, LA 70605-7191
(337) 562-1923
Mailing address
955 N KADE, LAKE CHARLES, LA 70605-7191
(337) 562-1923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16101
LA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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