Individual
JILL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 MACARTHUR DR, ALEXANDRIA, LA 71303-3111
(318) 442-5710
(318) 442-4487
Mailing address
210 IRIS LN, PINEVILLE, LA 71360-4400
(318) 641-1746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16775
LA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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