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Individual

KEVIN WILLIAM TORRES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1812 W THOMAS ST, HAMMOND, LA 70401-2945
(985) 345-4767
(985) 345-4768
Mailing address
42413 FOREST LN, HAMMOND, LA 70403-2182
(225) 294-6164

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.016947
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2105779
LA
Enumeration date
12/21/2010
Last updated
12/21/2010
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