DUSTY FALLIN

BASTROP, LA
NPI1780056473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  021044)
Enumeration Date2015-10-21
Last Update Date2025-08-14
Business Address
DUSTY FALLIN
314 N FRANKLIN ST
BASTROP, LA 71220-3846
Phone number: 318-239-8045
Mailing Address
DUSTY FALLIN
PO BOX 792
BASTROP, LA 71221-0792
Phone number: 318-283-8887