CHARLES BLAINE FONTENOT

BATON ROUGE, LA
NPI1922382605
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  14054)
Enumeration Date2011-09-29
Last Update Date2011-09-29
Business Address
-- CHARLES BLAINE FONTENOT pharmacist
3384 GOVERNMENT ST
BATON ROUGE, LA 70806-5628
Phone number: 225-387-5600
Mailing Address
-- CHARLES BLAINE FONTENOT pharmacist
3384 GOVERNMENT ST
BATON ROUGE, LA 70806-5628
Phone number: 225-387-5600
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