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Individual

ROYAL RICHARD AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PD.

Contact information

Practice address
2758 W 70TH ST, SHREVEPORT, LA 71108-4502
(318) 631-9891
Mailing address
7200 NORTHGATE DR, NEW ORLEANS, LA 70128-2322
(504) 259-6995

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10728
LA

Other

Enumeration date
03/22/2011
Last updated
03/22/2011
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