Individual
JASMINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5255 HIGHLAND RD, BATON ROUGE, LA 70808-6547
(225) 766-7778
Mailing address
10222 THE GROVE BLVD APT 2122, BATON ROUGE, LA 70836-6441
(318) 557-1082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024990
LA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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