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1780804120
THADRIAN MARQUIS JOHNSON
LULING, LA
NPI
1780804120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 0013452)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
THADRIAN MARQUIS JOHNSON R.PH.
12125 HIGHWAY 90
LULING, LA 70070-3000
Phone number: 985-783-6316
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Mailing Address
THADRIAN MARQUIS JOHNSON R.PH.
PO BOX 12
HAHNVILLE, LA 70057-0012
Phone number: 985-783-6316
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