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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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