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1265866776
KENNETH MICHAEL PARKER
SHREVEPORT, LA
NPI
1265866776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 020218)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
Dr. KENNETH MICHAEL PARKER Pharm.D.
2758 W 70TH ST
SHREVEPORT, LA 71108-4502
Phone number: 318-631-9891
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Mailing Address
Dr. KENNETH MICHAEL PARKER Pharm.D.
3215 KNIGHT ST APT 307
SHREVEPORT, LA 71105-2707
Phone number: 504-460-8288
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