Individual
DUSTY FALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 N FRANKLIN ST, BASTROP, LA 71220-3846
(318) 239-8045
(318) 556-8451
Mailing address
PO BOX 792, BASTROP, LA 71221-0792
(318) 283-8887
(318) 281-2559
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021044
LA
Other
Enumeration date
10/21/2015
Last updated
08/14/2025
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