Individual
REGAN NOELLE DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6130 JOHNSTON ST, LAFAYETTE, LA 70503-5619
(337) 984-1057
Mailing address
8709 EASTWOOD DR, ABBEVILLE, LA 70510-4344
(337) 230-8578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023133
LA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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