VIJAY S KANTAM

LAKE CHARLES, LA
NPI1326354879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  17862)
Enumeration Date2010-08-22
Last Update Date2010-08-22
Business Address
Mr. VIJAY S KANTAM
2755 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5913
Phone number: 337-477-7564
Mailing Address
Mr. VIJAY S KANTAM
2755 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5913
Phone number:
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