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Individual

RICKY THOMAS GUIDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
214 S THOMSON AVE, IOWA, LA 70647
(337) 582-3585
(337) 582-3607
Mailing address
6173 OAKLEAF LN, LAKE CHARLES, LA 70605-7124
(337) 478-7533
(337) 582-3459

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.013683
LA

Other

Enumeration date
11/18/2014
Last updated
11/18/2014
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