Individual
MR. ALFRED GRAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RHP
Contact information
Practice address
1112 CANTERBURY DR, ALEXANDRIA, LA 71303-3019
(318) 487-0657
Mailing address
1112 CANTERBURY DR, ALEXANDRIA, LA 71303-3019
(318) 487-0657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8041
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8041
STATE LIC
LA
Enumeration date
04/11/2008
Last updated
04/11/2008
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