Individual
MR. GREGORY L SCALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4600
(985) 626-5660
(985) 626-5748
Mailing address
619 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4600
(985) 626-5660
(985) 626-5748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14725
LA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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