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Individual

RANDAL J HANKS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2211 E MADISON AVE, BASTROP, LA 71220-4072
(318) 281-3284
(318) 281-4408
Mailing address
2211 E MADISON AVE, BASTROP, LA 71220-4072
(318) 281-3284
(318) 281-4408

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10470
LA

Other

Enumeration date
08/30/2011
Last updated
08/30/2011
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