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Individual

JIMMY TAYLOR II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
15794 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 345-7979
(985) 345-7493
Mailing address
15794 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 345-7979
(985) 345-7493

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST014644
LA

Other

Enumeration date
09/18/2018
Last updated
09/18/2018
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