Individual
JAMIE MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 W THOMAS ST, HAMMOND, LA 70401-2947
(985) 345-1600
(985) 345-9991
Mailing address
1910 W THOMAS ST, HAMMOND, LA 70401-2947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17296
LA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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