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1609114743
NICHOLAS BRABHAM
LAKE CHARLES, LA
NPI
1609114743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 0014744)
Enumeration Date
2013-01-24
Last Update Date
2013-01-24
Business Address
-- NICHOLAS BRABHAM p.d.
120 N HIGHWAY 171
LAKE CHARLES, LA 70611-5343
Phone number: 337-855-4848
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Mailing Address
-- NICHOLAS BRABHAM p.d.
120 N HIGHWAY 171
LAKE CHARLES, LA 70611-5343
Phone number: 337-855-4848
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