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1134403710
TARA AILEEN DAVIS
BOSSIER CITY, LA
NPI
1134403710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 18544)
Enumeration Date
2011-09-30
Last Update Date
2011-09-30
Business Address
Dr. TARA AILEEN DAVIS PharmD
4890 BARKSDALE BLVD
BOSSIER CITY, LA 71112-4566
Phone number: 318-747-4330
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Mailing Address
Dr. TARA AILEEN DAVIS PharmD
4890 BARKSDALE BLVD
BOSSIER CITY, LA 71112-4566
Phone number: 318-747-4330
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