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Organization
JEANSONNE FAMILY PHARMACY, LLC
Active
Organization
JEANSONNE FAMILY PHARMACY, LLC
Active
Other names
Jeansonne Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN JEANSONNE (OWNER)
(985) 264-0512
Entity
Organization
Contact information
Practice address
521 ASBURY DRIVE, MANDEVILLE, LA 70471
(985) 951-2688
(985) 951-2691
Mailing address
521 ASBURY DRIVE, MANDEVILLE, LA 70471
(985) 951-2688
(985) 951-2691
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205633
—
LA
Enumeration date
02/26/2018
Last updated
12/10/2021
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