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1700175734
TIMOTHY JAMES MOTEN
SLIDELL, LA
NPI
1700175734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: LA 15027)
Enumeration Date
2011-03-30
Last Update Date
2011-03-30
Business Address
Mr. TIMOTHY JAMES MOTEN rph
114 GAUSE
SLIDELL, LA 70460
Phone number: 985-643-6262
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Mailing Address
Mr. TIMOTHY JAMES MOTEN rph
5800 KENSINGTON BLVD
NEW ORLEANS, LA 70127-2809
Phone number: 504-722-9234
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