Individual
MRS. JACQUELINE BETH STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4070 NELSON RD STE 200, LAKE CHARLES, LA 70605-2444
(337) 562-7979
(337) 562-2343
Mailing address
221 PIN OAK DR, SULPHUR, LA 70663-6260
(337) 540-8959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14860
LA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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