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1942391560
GREGORY L SCALLON
MANDEVILLE, LA
NPI
1942391560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14725)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Mr. GREGORY L SCALLON
619 N CAUSEWAY BLVD
MANDEVILLE, LA 70448-4600
Phone number: 985-626-5660
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Mailing Address
Mr. GREGORY L SCALLON
619 N CAUSEWAY BLVD
MANDEVILLE, LA 70448-4600
Phone number: 985-626-5660
Copy
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