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1841643145
CODY FONTENOT
SHREVEPORT, LA
NPI
1841643145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA pst.020602)
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
Dr. CODY FONTENOT Pharm.D.
6940 PINES RD
SHREVEPORT, LA 71129-2516
Phone number: 318-682-8188
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Mailing Address
Dr. CODY FONTENOT Pharm.D.
6201 BERT KOUNS INDUSTRIAL LOOP LOT #341
SHREVEPORT, LA 71129-5056
Phone number:
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