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1922527936
TIMOTHY DEREK HARDY
WINNSBORO, LA
NPI
1922527936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
333600000X Pharmacy
(Licence: LA PST.022161)
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
Dr. TIMOTHY DEREK HARDY PharmD
3360 FRONT ST
WINNSBORO, LA 71295-6487
Phone number: 318-435-3438
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Mailing Address
Dr. TIMOTHY DEREK HARDY PharmD
1428 FRENCHMANS BEND RD
MONROE, LA 71203-8766
Phone number:
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