GLENN JOSEPH FAUL

LAFAYETTE, LA
NPI1639466345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  11870)
Enumeration Date2011-07-01
Last Update Date2011-07-01
Business Address
Mr. GLENN JOSEPH FAUL
4313 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6703
Phone number: 337-981-9673
Mailing Address
Mr. GLENN JOSEPH FAUL
4313 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6703
Phone number: 337-981-9673