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1316255136
JAMES NICHOLAS TISDELL
SHREVEPORT, LA
NPI
1316255136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST019166)
Enumeration Date
2010-09-14
Last Update Date
2010-09-14
Business Address
Dr. JAMES NICHOLAS TISDELL PharmD
3555 GREENWOOD RD
SHREVEPORT, LA 71109-5209
Phone number: 318-525-0144
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Mailing Address
Dr. JAMES NICHOLAS TISDELL PharmD
3501 CHAMPION LAKE BLVD APT. 1609
SHREVEPORT, LA 71105-3772
Phone number: 318-564-1057
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