Individual
JESSICA VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
34865 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0669
(225) 665-2428
Mailing address
29403 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-6322
(225) 603-1507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19483
LA
Other
Enumeration date
08/31/2010
Last updated
09/29/2016
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