NPI 1083020838

Robert Nethery

Practitioner Pharmacist Ponchatoula, LA

Practice location

Address: 1100 W Pine St, Ponchatoula, LA 70454-3700
Phone: (985) 386-2421
Fax: (985) 386-5988

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 160048 (LA)

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Registry record

NPI: 1083020838
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2014
Record last updated: 27 Dec 2022

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.