MICHAEL RUSSELL DORMAN

BATON ROUGE, LA
NPI1780686121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  14481)
Enumeration Date2005-08-15
Last Update Date2007-07-08
Business Address
Mr. MICHAEL RUSSELL DORMAN Pharmacist
5825 AIRLINE HWY
BATON ROUGE, LA 70805-2408
Phone number: 225-358-3920
Mailing Address
Mr. MICHAEL RUSSELL DORMAN Pharmacist
15442 CAMPANILE CT
BATON ROUGE, LA 70810-0309
Phone number: 225-358-3920
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