Shane Michael Landry

NPI #1063002665 in Lafayette, Louisiana

Provider Information

NPI Number: 1063002665
Entity Type: Individual
Name: Shane Michael Landry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 19, 2021
Last Updated: Jan 19, 2021

Practice Location

Address: 128 CURRAN LN
City: Lafayette
State: Louisiana
ZIP Code: 70506-7222
Phone: (337) 991-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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