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Individual

KENNETH HOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
345 W RAILROAD AVE, PAUL'S PHARMACY, INDEPENDENCE, LA 70443
(985) 809-1515
Mailing address
18457 HIGHWAY 22, PONCHATOULA, LA 70454-6747
(985) 974-2118

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10206
LA

Other

Enumeration date
09/14/2011
Last updated
12/13/2013
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