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Individual

MR. ROBERT EDWARD MUNSTER, JR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3300 YOUREE DR, SHREVEPORT, LA 71105-2116
(318) 869-3453
Mailing address
3300 YOUREE DR, SHREVEPORT, LA 71105-2116
(318) 869-3453

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10298
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1221121
LA
Enumeration date
09/20/2011
Last updated
10/17/2011
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