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Individual

PERRY ALEXANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
904 S RANGE AVE, DENHAM SPRINGS, LA 70726-4802
(225) 665-3427
Mailing address
5432 BLUEWATER DR, BATON ROUGE, LA 70817-2401
(225) 241-6038

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13746
LA

Other

Enumeration date
05/08/2014
Last updated
05/08/2014
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