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1235912874
DAN'TREL TY'RIQUE MCCOY
LULING, LA
NPI
1235912874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.024912)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
Dr. DAN'TREL TY'RIQUE MCCOY PharmD
1313 PAUL MAILLARD RD
LULING, LA 70070-7000
Phone number: 985-785-1753
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Mailing Address
Dr. DAN'TREL TY'RIQUE MCCOY PharmD
353 ASH ST
BOUTTE, LA 70039-3144
Phone number: 504-274-6706
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