JIMMY E BRANTLEY

LAFAYETTE, LA
NPI1134401243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  10333)
Enumeration Date2011-09-14
Last Update Date2011-09-14
Business Address
Mr. JIMMY E BRANTLEY
705 BERTRAND DR
LAFAYETTE, LA 70506-5546
Phone number: 337-232-7380
Mailing Address
Mr. JIMMY E BRANTLEY
705 BERTRAND DR
LAFAYETTE, LA 70506-5546
Phone number: 337-232-7380
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