Individual
MR. JASON SCOTT EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
213 HOSPITAL ROAD, NEW ROADS, LA 70760
(225) 638-5151
Mailing address
12690 ADAM ST, VENTRESS, LA 70783-3509
(225) 638-9817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17143
LA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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