Individual
MR. RONALD RAY MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 473-3065
Mailing address
312 WILDERNESS DR, BOYCE, LA 71409-8619
(318) 445-8246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15287
LA
Other
Enumeration date
08/25/2007
Last updated
08/25/2007
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