Individual
DONNA BERGGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 N AIRLINE HWY, GONZALES, LA 70737-2127
(225) 644-6547
Mailing address
17072 FOUNTAINBLEAU DR, PRAIRIEVILLE, LA 70769-5376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017166
LA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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