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1063002665
SHANE MICHAEL LANDRY
LAFAYETTE, LA
NPI
1063002665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.017747)
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
SHANE MICHAEL LANDRY
128 CURRAN LN
LAFAYETTE, LA 70506-7222
Phone number: 337-991-0101
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Mailing Address
SHANE MICHAEL LANDRY
128 CURRAN LN
LAFAYETTE, LA 70506-7222
Phone number: 337-991-0101
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