Individual
EARL CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
10408 HIGHWAY 16, AMITE, LA 70422-4134
(225) 223-0603
Mailing address
10408 HIGHWAY 16, AMITE, LA 70422-4134
(225) 223-0603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8963
LA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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