Bulger, Lyle

Bulger, Lyle is an individual health care provider with primary practice located at 1635 Hwy 3125 , Gramercy LA 70052. He recently has only one registered license in Pharmacy Service Providers / Nutrition Support, which is considered as his primary health care specialty. Bulger, Lyle can be contacted via phone (225) 869-3651.

Contact Information

Primary practice address
1635 Hwy 3125 Gramercy LA 70052
Fax: (225) 968-8826
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nutrition Support 1835N1003X 8889 Louisiana

Profile Details

NPI number 1033464714
LBN Legal business name Bulger, Lyle
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2012
Last updated Jul 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033464714 NPPES
Louisiana Other 1917939 NABP

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