CODY FONTENOT

SHREVEPORT, LA
NPI1841643145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  pst.020602)
Enumeration Date2016-07-21
Last Update Date2016-07-21
Business Address
Dr. CODY FONTENOT Pharm.D.
6940 PINES RD
SHREVEPORT, LA 71129-2516
Phone number: 318-682-8188
Mailing Address
Dr. CODY FONTENOT Pharm.D.
6201 BERT KOUNS INDUSTRIAL LOOP LOT #341
SHREVEPORT, LA 71129-5056
Phone number: