Most Relevant Information
Provider Data
| NPI Number: | 1003317322 |
| Provider Name: | PAUL ANTOINE BORDELON RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PST.013301 |
Most Important Dates
| Enumeration Date: | 02/22/2018 |
| Last Updated: | 02/22/2018 |
Provider Practice Location
6920 PLANK RD
BATON ROUGE
LA
708116041
Practice Location Phone/Fax
| Phone: | 2253560654 |
| Fax: |
Provider Mailing Location
6920 PLANK RD
BATON ROUGE
LA
708116041
Provider Mailing Phone/Fax
| Phone: | 2253560654 |
| Fax: |