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1821307778
WYATT ALLEN PARKS
OAKDALE, LA
NPI
1821307778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14116)
Enumeration Date
2010-09-27
Last Update Date
2010-09-27
Business Address
-- WYATT ALLEN PARKS Rph
739 HIGHWAY 165 S
OAKDALE, LA 71463-3519
Phone number: 318-335-0094
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Mailing Address
-- WYATT ALLEN PARKS Rph
2531 VIDRINE RD
VILLE PLATTE, LA 70586-8504
Phone number: 331-363-3510
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