Individual
MR. BRODIE BERNARD THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
310 NORTH GEOFFREY STREET, ERATH, LA 70533
(337) 280-9233
Mailing address
310 NORTH GEOFFREY STREET, ERATH, LA 70533
(337) 280-9233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.016871
LA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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