Individual
MR. BRIAN JOSEPH DELATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
7869 MAIN ST, HOUMA, LA 70360-4461
(985) 873-8526
(985) 873-8541
Mailing address
108 FENCE ROW ST, SCHRIEVER, LA 70395-4320
(985) 447-9630
(985) 873-8541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11097
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1233510
—
LA
01
—
1906099
NABP
LA
Enumeration date
12/13/2006
Last updated
07/08/2007
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