LEROY J FREDERICK

BREAUX BRIDGE, LA
NPI1184759623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  10017)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
-- LEROY J FREDERICK PD
1017 CECILIA BRIDGE HWY
BREAUX BRIDGE, LA 70517
Phone number: 337-667-6271
Mailing Address
-- LEROY J FREDERICK PD
1789 GRAND ANSE HWY # B
BREAUX BRIDGE, LA 70517-7103
Phone number: 337-667-6977