Individual
PAUL WALLACE INGALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7941 PICARDY AVE, BATON ROUGE, LA 70809-3536
(225) 819-3336
Mailing address
6803 DIANTHUS DR, BATON ROUGE, LA 70817-4236
(225) 754-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.017930
LA
Other
Enumeration date
03/21/2011
Last updated
08/13/2024
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