Individual
NEIL FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5705
(337) 769-4258
(337) 769-4259
Mailing address
1101 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5705
(337) 769-4258
(337) 769-4259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14342
LA
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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