Philip Allen Medaries

NPI #1881953099 in Benton, Louisiana

Provider Information

NPI Number: 1881953099
Entity Type: Individual
Name: Philip Allen Medaries
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 8, 2012
Last Updated: May 8, 2012

Practice Location

Address: 6280 HIGHWAY 3
City: Benton
State: Louisiana
ZIP Code: 71006-3492
Phone: (318) 965-3669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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