Individual
MICHAEL HOLMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 JOHNSTON ST STE 301, LAFAYETTE, LA 70503-3276
(337) 234-0197
Mailing address
1129 MICHAEL ST, MARRERO, LA 70072-2638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020872
LA
Other
Enumeration date
12/27/2014
Last updated
12/27/2014
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