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MARY SUSAN TIGRETT LEBLANC R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1811205966

Individual Registrant:
 MARY SUSAN TIGRETT LEBLANC R.PH.
Gender: F
Sole Proprietor

Location and contact information for practice:
510 W HIGHWAY 14  DELCAMBRE, LA 70528-2308 US
Tel: 337-685-6851  Fax: 337-685-6853

Contact information for business:
510 W HIGHWAY 14  DELCAMBRE, LA 70528-2308 US
Tel: 337-685-6851  Fax: 337-685-6853

Registration Information:
NPI: 1811205966
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
LA16049

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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