Individual
MS. SUSAN J JACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
222 BELL LN STE 5A, WEST MONROE, LA 71291-6303
(318) 988-3018
(318) 988-3020
Mailing address
222 BELL LN STE 5A, WEST MONROE, LA 71291-6303
(318) 988-3018
(318) 988-3020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11518
LA
Other
Enumeration date
04/17/2007
Last updated
05/20/2015
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