JAMES WESLEY SOUTHERN

SHREVEPORT, LA
NPI1104427590
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  016772)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
JAMES WESLEY SOUTHERN
7400 YOUREE DR
SHREVEPORT, LA 71105-5536
Phone number: 318-798-0566
Mailing Address
JAMES WESLEY SOUTHERN
158 LORE DRIVE
STONEWALL, LA 71078
Phone number: 318-210-7258
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