BRIAN ETHAN JAN

ALEXANDRIA, LA
NPI1558878827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.022336)
Enumeration Date2018-01-08
Last Update Date2018-03-17
Business Address
BRIAN ETHAN JAN RPh
3333 MASONIC DR
ALEXANDRIA, LA 71301-3842
Phone number: 318-445-6386
Mailing Address
BRIAN ETHAN JAN RPh
2705 PINE LAKE DR APT 2705
PINEVILLE, LA 71360-5865
Phone number: 858-837-4620
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