PHONG JOHN DO

LAFAYETTE, LA
NPI1174155816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.023182)
Enumeration Date2020-02-11
Last Update Date2020-02-25
Business Address
PHONG JOHN DO
2822 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5906
Phone number: 337-216-9399
Mailing Address
PHONG JOHN DO
1100 ROBLEY DR APT 5307
LAFAYETTE, LA 70503-5531
Phone number: