Individual
SHAWN BOOKWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3234
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP447674
PA
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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