Individual
WYATT ALLEN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
739 HIGHWAY 165 S, OAKDALE, LA 71463-3519
(318) 335-0094
(318) 335-0097
Mailing address
2531 VIDRINE RD, VILLE PLATTE, LA 70586-8504
(331) 363-3510
(318) 335-0097
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14116
LA
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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