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1073821070
CHARLES FREDRICK BRUCE
SHREVEPORT, LA
NPI
1073821070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 17793)
Enumeration Date
2010-09-24
Last Update Date
2010-09-24
Business Address
-- CHARLES FREDRICK BRUCE PharmD
6935 PINES RD
SHREVEPORT, LA 71129-2515
Phone number: 318-688-7912
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Mailing Address
-- CHARLES FREDRICK BRUCE PharmD
6935 PINES RD
SHREVEPORT, LA 71129-2515
Phone number: 318-688-7912
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