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1023302213
JIMMY PHAN
HARVEY, LA
NPI
1023302213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 019223)
Enumeration Date
2011-06-05
Last Update Date
2011-06-05
Business Address
-- JIMMY PHAN
1731 MANHATTAN BLVD
HARVEY, LA 70058-3409
Phone number: 504-364-1659
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Mailing Address
-- JIMMY PHAN
1731 MANHATTAN BLVD
HARVEY, LA 70058-3409
Phone number: 504-364-1659
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