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1740595701
LEROY JOHNSON
LAKE CHARLES, LA
NPI
1740595701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 11421)
Enumeration Date
2010-08-15
Last Update Date
2010-08-15
Business Address
Mr. LEROY JOHNSON Pharmacist
4097 RYAN ST
LAKE CHARLES, LA 70605-2819
Phone number: 337-474-0434
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Mailing Address
Mr. LEROY JOHNSON Pharmacist
4097 RYAN ST
LAKE CHARLES, LA 70605-2819
Phone number: 337-474-0434
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