Individual
MR. GLEN GIAMBRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
195 N CANAL BLVD, THIBODAUX, LA 70301-2995
(985) 447-2456
(985) 447-6572
Mailing address
195 N CANAL BLVD, THIBODAUX, LA 70301-2995
(985) 447-2456
(985) 447-6572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15877
LA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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