Individual
JONATHON PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1201 N SERVICE RD E, RUSTON, LA 71270-2917
(318) 251-0392
Mailing address
1201 N SERVICE RD E, RUSTON, LA 71270-2917
(318) 251-0392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021387
LA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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