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Individual

DR. LINDA DANIELS JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
23515 HWY 190, MANDEVILLE, LA 70448
(985) 626-6300
(985) 626-6639
Mailing address
PO BOX 3850, 23515 HWY 190, MANDEVILLE, LA 70470-3850
(985) 626-6300
(985) 626-6639

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
12377
GA
183500000X
Pharmacist
Primary
13577
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043264351
NPI FACILITY
LA
Enumeration date
04/16/2007
Last updated
07/08/2007
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