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Individual

DR. ANTHONY LEONARD JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
9510 ELLERBE RD, SHREVEPORT, LA 71106-7406
(318) 797-3272
(318) 797-3202
Mailing address
9510 ELLERBE RD, SHREVEPORT, LA 71106-7406
(318) 797-3272
(318) 797-3202

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022070
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002307
MEDICATION ADMINISTRATION
LA
Enumeration date
07/26/2017
Last updated
07/21/2022
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