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1619430618
PHILIP PAUL MARTIN
SHREVEPORT, LA
NPI
1619430618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 22805)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
PHILIP PAUL MARTIN Pharm.D.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
PHILIP PAUL MARTIN Pharm.D.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number:
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