PHILIP ALLEN MEDARIES

BENTON, LA
NPI1881953099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  15514)
Enumeration Date2012-05-08
Last Update Date2012-05-08
Business Address
-- PHILIP ALLEN MEDARIES
6280 HIGHWAY 3
BENTON, LA 71006-3492
Phone number: 318-965-3669
Mailing Address
-- PHILIP ALLEN MEDARIES
613 PLACID PT
BOSSIER CITY, LA 71111-8403
Phone number: