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Lyle Bulger, PHARMACIST
Nutrition Support Pharmacist in Gramercy, Louisiana
NPI 1033464714

Lyle Bulger is a Nutrition Support Pharmacist based in Gramercy, LA and is specialized in Nutrition Support. Lyle Bulger practices in Gramercy, LA and has the professional credentials of PHARMACIST. The NPI Number for Lyle Bulger is 1033464714 and holds a License No. 8889 (Louisiana).

The current practice location address for Lyle Bulger is 1635 Hwy 3125, Gramercy, LA and can be reached out via phone at 225-869-3651 and via fax at 225-968-8826.

Location: 1635 Hwy 3125, Gramercy, LA, 70052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033464714
Provider Name
Lyle Bulger
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
1635 Hwy 3125, Gramercy, LA, 70052
Phone Number
225-869-3651
Fax Number
225-968-8826
Provider Enumeration Date
07/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1917939 01 LA NABP
institution
Provider Business Practice Location Address Details
Address
1635 Hwy 3125
City
Gramercy
State
Louisiana
Zip
70052
Phone Number
225-869-3651
Fax Number
225-968-8826
person
Provider Business Mailing Address Details
Address
1635 Hwy 3125
City
Gramercy
State
Louisiana
Zip
70052
Phone Number
225-869-3651
Fax Number
225-968-8826
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Nutrition Support
Taxonomy
1835N1003X
License No.
8889 (Louisiana)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
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