Individual
MR. PHIL J DAIGLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1017 CECILIA BRIDGE HWY, BREAUX BRIDGE, LA 70517-6801
(985) 513-8459
Mailing address
1017 CECILIA BRIDGE HWY, BREAUX BRIDGE, LA 70517-6801
(337) 667-6271
(337) 667-7379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14789
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1898309
1898309
LA
05
—
1898309
—
LA
Enumeration date
08/16/2010
Last updated
04/15/2019
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