JONATHAN BLAINE LOPEZ

LAKE CHARLES, LA
NPI1154941631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  .017781)
Enumeration Date2020-04-24
Last Update Date2023-11-27
Business Address
JONATHAN BLAINE LOPEZ
1725 W SALE RD
LAKE CHARLES, LA 70605-2521
Phone number: 337-474-7001
Mailing Address
JONATHAN BLAINE LOPEZ
1725 W SALE RD
LAKE CHARLES, LA 70605-2521
Phone number: 337-474-7001
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