Individual
JERROLD WALKER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
366 SAM HOUSTON JONES PKWY, LAKE CHARLES, LA 70611-5602
(337) 855-1341
(337) 855-4273
Mailing address
366 SAM HOUSTON JONES PKWY, LAKE CHARLES, LA 70611-5602
(337) 855-1341
(337) 855-4273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10165
LA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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