NPI 1003317322

Paul Antoine Bordelon, RPH

Practitioner Pharmacist Baton Rouge, LA

Practice location

Address: 6920 Plank Rd, Baton Rouge, LA 70811-6041
Phone: (225) 356-0654

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PST.013301 (LA)

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Registry record

NPI: 1003317322
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2018
Record last updated: 22 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.