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Individual

JENNIFER GUILLORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
6216 HWY 10, GREENSBURG, LA 70441
(225) 222-6125
(225) 222-6197
Mailing address
6216 HWY 10, GREENSBURG, LA 70441
(225) 222-6125
(225) 222-6197

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016776
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1936472
LA
Enumeration date
10/23/2015
Last updated
10/23/2015
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