Individual
JEFFREY BONAVENTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9105
(225) 987-9104
Mailing address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9105
(225) 987-9104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14939
LA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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