Individual
MR. MICHAEL KEVIN TOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1701 CHARTER ST, JACKSON, LA 70748
(225) 634-2470
(225) 634-7975
Mailing address
PO BOX 306, JACKSON, LA 70748-0306
(225) 634-2470
(225) 634-7975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13993
LA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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