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1194829648
DEREL J SMITH
LULING, LA
NPI
1194829648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14651)
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
Dr. DEREL J SMITH P.D.
12125 HIGHWAY 90
LULING, LA 70070-3000
Phone number: 985-785-8772
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Mailing Address
Dr. DEREL J SMITH P.D.
143 BAYOU EST S
DES ALLEMANDS, LA 70030-3342
Phone number: 985-758-2021
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