PHIL H WALTZ

RUSTON, LA
NPI1083942759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  9728)
Enumeration Date2009-11-18
Last Update Date2009-11-18
Business Address
-- PHIL H WALTZ RPH
200 N TRENTON ST
RUSTON, LA 71270-4324
Phone number: 318-255-0458
Mailing Address
-- PHIL H WALTZ RPH
2102 KNOWLES DR
RUSTON, LA 71270-2619
Phone number: 318-255-0659