Individual
JORDAN THIBODEAUX BERGEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1900 HIGHWAY 165 S, OAKDALE, LA 71463-5098
(318) 335-3131
Mailing address
1900 HIGHWAY 165 S, OAKDALE, LA 71463-5098
(318) 335-3131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022111
LA
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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