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1407556749
DAVID LEE BREWER
BOSSIER CITY, LA
NPI
1407556749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: LA PST.024718)
Enumeration Date
2023-03-06
Last Update Date
2023-03-06
Business Address
DAVID LEE BREWER
3400 AIRLINE DR
BOSSIER CITY, LA 71111-2122
Phone number: 318-741-6589
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Mailing Address
DAVID LEE BREWER
424 DANBURY DR
SHREVEPORT, LA 71106-6816
Phone number:
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