Individual
MR. BERNARD SALTAFORMAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
34876 LA HIGHWAY 1019, DENHAM SPRINGS, LA 70706-0659
(225) 667-4286
Mailing address
PO BOX 710, WATSON, LA 70786-0710
(225) 667-4286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
LA11448
LA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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