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1710389028
MICHAEL CROCKETT
ALEXANDRIA, LA
NPI
1710389028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 15926)
Enumeration Date
2014-09-17
Last Update Date
2014-09-17
Business Address
-- MICHAEL CROCKETT RPh.
6225 COLISEUM BLVD
ALEXANDRIA, LA 71303-3721
Phone number: 318-448-4841
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Mailing Address
-- MICHAEL CROCKETT RPh.
6225 COLISEUM BLVD
ALEXANDRIA, LA 71303-3721
Phone number: 318-448-4841
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