Individual
MR. CHAD M RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
500 LAFAYETTE ST, GRETNA, LA 70053-5936
(504) 252-9686
Mailing address
1705 CAITLIN CT, MARRERO, LA 70072-4055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17966
LA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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