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1376556472
PENNY KNIGHT DICKENS
SHREVEPORT, LA
NPI
1376556472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14173)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- PENNY KNIGHT DICKENS RPh
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
-- PENNY KNIGHT DICKENS RPh
2452 CHURCHILL DR
BOSSIER CITY, LA 71111-5558
Phone number: 318-464-9656
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