Organization
JACK'S DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE JACKSON JR. RPH (LLC MEMBER/MANAGER)
(504) 252-4747
Entity
Organization
Contact information
Practice address
4400 JEFFERSON HWY, JEFFERSON, LA 70121-1309
(504) 252-4717
(504) 602-9847
Mailing address
440 CENTRAL AVE, JEFFERSON, LA 70121-3408
(504) 252-4717
(504) 602-9847
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
09/08/2010
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