Individual
DEREK LEGENDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1415 SAINT CHARLES ST, HOUMA, LA 70360-3964
(985) 868-4033
Mailing address
3320 COPPERWOOD DR, GRAY, LA 70359-5328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18277
LA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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