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1144537028
ANDREA DANIEL BAHAM
BATON ROUGE, LA
NPI
1144537028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14650)
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
-- ANDREA DANIEL BAHAM RPh
9960 BLUEBONNET BLVD
BATON ROUGE, LA 70810-6457
Phone number: 225-768-1941
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Mailing Address
-- ANDREA DANIEL BAHAM RPh
10828 PINEBROOK AVE
BATON ROUGE, LA 70809-4057
Phone number: 225-295-3551
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