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Organization
JAFORD ENTERPRISES
Active
Organization
JAFORD ENTERPRISES
Active
Other names
Higher Grounds Pharmacy Ministry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEVELLE LIESA FORD P.D. (PIC)
(225) 291-0325
Entity
Organization
Contact information
Practice address
4983 BLUEBONNET BLVD, STE B, BATON ROUGE, LA 70809-3086
(225) 291-0325
(225) 291-0362
Mailing address
PO BOX 86028, BATON ROUGE, LA 70879-6028
(225) 291-0325
(225) 291-0362
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4058
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266311
—
LA
Enumeration date
11/21/2006
Last updated
05/20/2008
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