Mccoy, Dan'Trel Ty'Rique
Mccoy, Dan'Trel Ty'Rique is an sole proprietor health care provider with primary practice located at 1313 Paul Maillard Rd , Luling LA 70070-7000. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mccoy, Dan'Trel Ty'Rique can be contacted via phone (985) 785-1753.Contact Information
Primary practice address
1313 Paul Maillard Rd
Luling LA 70070-7000
Phone: (985) 785-1753
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | PST.024912 | Louisiana |
Profile Details
NPI number | 1235912874 |
---|---|
LBN Legal business name | Mccoy, Dan'Trel Ty'Rique |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 16th, 2023 |
Last updated | Aug 16th, 2023 - about 2 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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