Individual
WADE RANDALL VEILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
410 CRESWELL LN, OPELOUSAS, LA 70570-5810
(337) 942-4228
Mailing address
410 CRESWELL LN, OPELOUSAS, LA 70570-5810
(337) 942-4228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11709
LA
Other
Enumeration date
08/15/2010
Last updated
08/15/2010
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