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1073038543
MUSTAFA BENRAHLA
LAKE CHARLES, LA
NPI
1073038543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 020907)
Enumeration Date
2017-08-07
Last Update Date
2017-08-07
Business Address
MUSTAFA BENRAHLA Pharmacist
2825 RYAN ST
LAKE CHARLES, LA 70601-7329
Phone number: 337-494-1590
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Mailing Address
MUSTAFA BENRAHLA Pharmacist
2700 ERNEST ST APT 345
LAKE CHARLES, LA 70601-8479
Phone number: 504-931-6551
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