Individual
MATTHEW WADE NUGENT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2951 COTTINGHAM EXPY STE B, PINEVILLE, LA 71360-4389
(318) 640-0145
Mailing address
164 SANBURN RD, POLLOCK, LA 71467-3636
(318) 201-8084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025489
LA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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