Individual
MRS. JENNIFER M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1125 HIGHWAY 80, HAUGHTON, LA 71037-9430
(318) 949-8476
(318) 949-4325
Mailing address
204 RIDGEFIELD DR, BOSSIER CITY, LA 71111-2369
(318) 294-4758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
07918
AR
183500000X
Pharmacist
Primary
14862
LA
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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