Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JAB CLINIC PHARMACY INC
Active
Organization
JAB CLINIC PHARMACY INC
Active
Other names
CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BENNETT RPH (OWNER)
(318) 251-6385
Entity
Organization
Contact information
Practice address
604 BELUE LN, SUITE A, RUSTON, LA 71270-3870
(318) 251-6385
(318) 255-7530
Mailing address
604 BELUE LN, SUITE A, RUSTON, LA 71270-3870
(318) 251-6385
(318) 255-7530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.003899-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1264784
—
LA
01
—
2032265
PK
—
Enumeration date
09/21/2006
Last updated
10/20/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers