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1801345947
MARK RAYBURN
SHREVEPORT, LA
NPI
1801345947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: TX 39194)
Enumeration Date
2016-09-30
Last Update Date
2024-09-25
Business Address
Mr. MARK RAYBURN R.Ph.
510 E STONER AVE
SHREVEPORT, LA 71101
Phone number: 870-779-2750
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Mailing Address
Mr. MARK RAYBURN R.Ph.
103 WEST LAKE ROAD
TEXARKANA, TX 75501
Phone number: 903-908-3654
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