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1295216018
ANDREW MICHAEL FONTENOT
MONROE, LA
NPI
1295216018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 022539)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
ANDREW MICHAEL FONTENOT PharmD
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-966-4000
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Mailing Address
ANDREW MICHAEL FONTENOT PharmD
5310 DESIARD ST LOT 5
MONROE, LA 71203-4620
Phone number: 337-852-4008
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