Individual
MR. CONRAD PAUL COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 N CANAL BLVD, THIBODAUX, LA 70301-2910
(985) 446-5646
(985) 448-0917
Mailing address
409 PLATER DR, THIBODAUX, LA 70301-5615
(985) 447-5881
(985) 448-0917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10628
LA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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