MICHAEL WAN

JEFFERSON, LA
NPI1922714526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.025847)
Enumeration Date2023-01-26
Last Update Date2025-12-29
Business Address
MICHAEL WAN
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 256-226-6787
Mailing Address
MICHAEL WAN
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 334-844-8348
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