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1003927641
JOHNNY KEITH EUBANKS
PINEVILLE, LA
NPI
1003927641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14407)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mr. JOHNNY KEITH EUBANKS
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
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Mailing Address
Mr. JOHNNY KEITH EUBANKS
8809 TOPAZ DR
PINEVILLE, LA 71360-2655
Phone number: 318-473-0010
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