Individual
PETER DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 445-6386
Mailing address
2145 HORSESHOE DR, ALEXANDRIA, LA 71301-2865
(318) 445-6386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022887
LA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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