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Organization · Community/Retail Pharmacy · Thibodaux, LA

NPI
1326067299
Type
Organization (Type 2)
Primary specialty
Community/Retail Pharmacy (Pharmacy)
Specialty group
Suppliers
Taxonomy code
3336C0003X
License number
PHY005681IR (LA)
Enumerated
2006-07-19
Last updated
2015-04-09
Practice location
1772 Canal Blvd
Thibodaux, LA 70301-5225
(985) 447-3746

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