JOHNSON SULLIVAN FAIRBANKS

ALEXANDRIA, LA
NPI1134332968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: LA  10542)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- JOHNSON SULLIVAN FAIRBANKS rph
1527 MOHON ST
ALEXANDRIA, LA 71301-3431
Phone number: 318-442-2359
Mailing Address
-- JOHNSON SULLIVAN FAIRBANKS rph
1527 MOHON ST
ALEXANDRIA, LA 71301-3431
Phone number:
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