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1417558123
TAI VU
SHREVEPORT, LA
NPI
1417558123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA PST.023689)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
TAI VU Pharm D.
9209 MANSFIELD RD
SHREVEPORT, LA 71118-3152
Phone number: 318-671-0271
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Mailing Address
TAI VU Pharm D.
9209 MANSFIELD RD
SHREVEPORT, LA 71118-3152
Phone number: 318-671-0271
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