Individual
MRS. TERRI WHITLEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3671 JOOR RD, BATON ROUGE, LA 70814-3104
(225) 924-3880
(225) 924-9753
Mailing address
3671 JOOR RD, BATON ROUGE, LA 70814-3104
(225) 924-3880
(225) 924-9753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18211
LA
Other
Enumeration date
08/02/2009
Last updated
10/05/2022
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