Individual
DR. MEGHAN CLARE MARCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 E MILTON AVE, YOUNGSVILLE, LA 70592-5379
(337) 856-8881
Mailing address
215 ABBY RD, THIBODAUX, LA 70301-6018
(985) 665-3980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19473
LA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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