Gregory Persich

NPI #1003121377 in Mandeville, Louisiana

Provider Information

NPI Number: 1003121377
Entity Type: Individual
Name: Gregory Persich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 11, 2010
Last Updated: Aug 11, 2010

Practice Location

Address: 4330 HIGHWAY 22
City: Mandeville
State: Louisiana
ZIP Code: 70471-3317
Phone: (985) 674-2551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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