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Individual

MR. JAMES DIRK ANDREPONT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1717 S UNION ST STE 2, OPELOUSAS, LA 70570-5745
(337) 948-7703
(337) 948-9975
Mailing address
1717 S UNION ST STE 2, OPELOUSAS, LA 70570-5745
(337) 948-7703
(337) 948-9975

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11388
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08-09
MEDICATION ADMINISTRATION REGISTRY
LA
05
1260916
LA
Enumeration date
09/21/2010
Last updated
01/03/2019
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