Individual
DR. SCOTT WILSON BALDELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1806 JULIA ST, RAYVILLE, LA 71269-5560
(318) 728-5917
(318) 728-6675
Mailing address
1806 JULIA ST, RAYVILLE, LA 71269-5560
(318) 728-5917
(318) 728-6675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019843
LA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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