Individual
RICHARD MICHAEL INDOVINA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3330 W ESPLANADE AVE S, METAIRIE, LA 70002-3454
(504) 828-5071
Mailing address
1001 MOSS LN, RIVER RIDGE, LA 70123-2739
(504) 737-7752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15322
LA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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