Individual
MR. JARROD JOSEPH ROGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
7869 MAIN ST, HOUMA, LA 70360-4461
(985) 873-8526
Mailing address
315 HALE DR, THIBODAUX, LA 70301-5603
(985) 438-0055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16517
LA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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