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NPI Code Detail

MEDICARE: MR. PAUL LOUIS VIALLON V R.PH.

MEDICARE: MR. PAUL LOUIS VIALLON V R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist016691LA

General Provider Information

NPI Number : 1235501081
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL LOUIS VIALLON V R.PH.
Provider Business Mailing Address
First Line : 32553 BOWIE ST
Second Line :
City : WHITE CASTLE
State : LA
Zip : 70788-2503
Country : US
Telephone Number : 225-545-2277
Fax Number : 225-545-2903
Provider Business Practice Location Address
First Line : 32553 BOWIE ST
Second Line :
City : WHITE CASTLE
State : LA
Zip : 70788-2503
Country : US
Telephone Number : 225-545-2277
Fax Number : 225-545-2903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2015
Last Update Date : 10/20/2015

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