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1164732400
COY BERGERON
LAFAYETTE, LA
NPI
1164732400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 19214)
Enumeration Date
2010-10-20
Last Update Date
2010-10-20
Business Address
Dr. COY BERGERON Pharm D
4710 JOHNSTON ST
LAFAYETTE, LA 70503-4541
Phone number: 337-988-7284
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Mailing Address
Dr. COY BERGERON Pharm D
231 ISERINGHAUSEN RD
CHURCH POINT, LA 70525-7511
Phone number: 337-278-3706
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