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1922554880
ANDREW THEVIS
LAFAYETTE, LA
NPI
1922554880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 021697)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- ANDREW THEVIS
111 WESTGATE RD
LAFAYETTE, LA 70506-2710
Phone number: 337-232-5506
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Mailing Address
-- ANDREW THEVIS
1371 THEVIS RD
EUNICE, LA 70535-7509
Phone number:
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