Individual
JESSICA MARIE BRIGNAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1100 W PINE ST, PONCHATOULA, LA 70454-3700
(985) 809-9842
(985) 809-9845
Mailing address
1100 W PINE ST, PONCHATOULA, LA 70454-3700
(985) 386-2421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019680
LA
Other
Enumeration date
08/16/2013
Last updated
12/26/2022
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