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1891109351
RUSSELL ROARK
WEST MONROE, LA
NPI
1891109351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 15706)
Enumeration Date
2014-06-12
Last Update Date
2016-07-22
Business Address
-- RUSSELL ROARK R.Ph.
5251 CYPRESS STREET
WEST MONROE, LA 71291
Phone number: 318-267-3505
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Mailing Address
-- RUSSELL ROARK R.Ph.
5251 CYPRESS STREET
WEST MONROE, LA 71291
Phone number: 318-267-3505
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