Individual
MR. JEFFREY CIRO DIMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8443 HWY. 23, BELLE CHASSE, LA 70037
(504) 393-1648
(504) 393-1650
Mailing address
8443 HWY. 23, BELLE CHASSE, LA 70037
(504) 393-1648
(504) 393-1650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14690
LA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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