KWAME KENYATTA HAVEN

GONZALES, LA
NPI1558644369
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  18547)
Enumeration Date2011-09-28
Last Update Date2011-09-28
Business Address
Dr. KWAME KENYATTA HAVEN Pharm.D
1624 N BURNSIDE AVE
GONZALES, LA 70737-2139
Phone number: 225-644-7528
Mailing Address
Dr. KWAME KENYATTA HAVEN Pharm.D
1624 NORTH BURNSIDE
GONZALES, LA 70737
Phone number: 225-200-0164
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