Individual
MR. GRANT D BOATRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.D
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6238
(337) 261-6363
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6238
(337) 261-6363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15389
LA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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