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1083839187
CHRIS JOSEPH IVANYISKY
MANDEVILLE, LA
NPI
1083839187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 16117)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- CHRIS JOSEPH IVANYISKY RPh
23515 HWY 190
MANDEVILLE, LA 70470
Phone number: 985-626-6300
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Mailing Address
-- CHRIS JOSEPH IVANYISKY RPh
PO BOX 3850 23515 HWY 190
MANDEVILLE, LA 70470-3550
Phone number: 985-626-6300
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