Individual
DR. CARLY KRISTIN BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1619 S COLUMBIA ST, BOGALUSA, LA 70427-5824
(985) 732-5752
(985) 732-5921
Mailing address
18083 THREE RIVERS RD, COVINGTON, LA 70433-8950
(504) 419-7487
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST020209
LA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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