Individual
MR. JUSTIN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2520 PLANK RD, BATON ROUGE, LA 70805-8027
(225) 357-1484
Mailing address
7444 MEADOW PARK AVE, BATON ROUGE, LA 70810-2009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019448
LA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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