Individual
RICHARD LEE NEIDHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29644 SOUTH MONTPELIER AVE, SUITE A, ALBANY, LA 70711-0328
(225) 567-1921
(225) 567-1931
Mailing address
29644 SOUTH MONTPELIER AVE, ALBANY, LA 70711
(225) 567-1921
(225) 567-1931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11690
LA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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