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Individual

JAMES WITSCHEN BRYCE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5323 MACHOST RD, ZACHARY, LA 70791-7232
(225) 658-0608
(800) 729-0167
Mailing address
16459 JOOR RD, ZACHARY, LA 70791-8630
(225) 658-0608
(800) 729-0167

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051290631
IL
183500000X
Pharmacist
Primary
16660
LA
183500000X
Pharmacist
T-010025
MS

Other

Enumeration date
11/04/2009
Last updated
11/04/2009
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