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1902918089
BRIAN SMITH
KENNER, LA
NPI
1902918089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 10386)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- BRIAN SMITH
2205 21ST ST
KENNER, LA 70062-5807
Phone number: 504-469-2596
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Mailing Address
-- BRIAN SMITH
2205 21ST ST
KENNER, LA 70062-5807
Phone number: 504-469-2596
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