DANIEL MACK DENNIS

SHREVEPORT, LA
NPI1942211107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  15709)
Enumeration Date2006-08-11
Last Update Date2007-07-08
Business Address
Mr. DANIEL MACK DENNIS R.PH.
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Mr. DANIEL MACK DENNIS R.PH.
3117 DEERFIELD DR
HAUGHTON, LA 71037-8500
Phone number: 318-390-7088
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