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RAYMOND DREW MCCANDLISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
9250 MANSFIELD RD, SHREVEPORT, LA 71118-3125
(318) 686-6311
(318) 686-3999
Mailing address
9250 MANSFIELD RD, SHREVEPORT, LA 71118-3125
(318) 686-6311
(318) 686-3999

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10370
LA
183500000X
Pharmacist
37147
TX

Other

Enumeration date
09/10/2010
Last updated
09/10/2010
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