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1023630365
ELLIS NGUYEN
LAFAYETTE, LA
NPI
1023630365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.020411)
Enumeration Date
2020-05-09
Last Update Date
2020-05-09
Business Address
ELLIS NGUYEN
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-470-5500
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Mailing Address
ELLIS NGUYEN
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number:
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