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Individual

HOWARD ALLEN RAINWATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2758 W 70TH ST, SHREVEPORT, LA 71108-4502
(318) 631-9891
Mailing address
2758 W 70TH ST, SHREVEPORT, LA 71108-4502
(318) 631-9891

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014916
LA

Other

Enumeration date
11/20/2012
Last updated
11/20/2012
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