Individual
JORDAN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1405 JEFFERSON HWY STE A, JEFFERSON, LA 70121-2448
(504) 842-7439
Mailing address
1405 JEFFERSON HWY STE A, JEFFERSON, LA 70121-2448
(504) 842-7439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST023236
LA
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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