PAUL TIMOTHY LUONG

FORT POLK, LA
NPI1770054652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS56479)
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
PAUL TIMOTHY LUONG
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 941-284-8984
Mailing Address
PAUL TIMOTHY LUONG
5345 TANKERSLEY CT APT C
FORT POLK, LA 71459-3669
Phone number: