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Individual

ADAM ALLEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
820 W ESPLANADE AVE, KENNER, LA 70065-2757
(504) 467-8313
Mailing address
3269 VALMONT LN, KENNER, LA 70065-2647

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19763
LA

Other

Enumeration date
09/07/2012
Last updated
09/07/2012
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