Individual
GARY L GODAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
702 N FRUSHA DR, DERIDDER, LA 70634-3222
(337) 239-3474
(337) 238-2575
Mailing address
PO BOX 443, DERIDDER, LA 70634-0443
(337) 239-3474
(337) 238-2575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9106
LA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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