Individual
TROYELL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE N116, MARRERO, LA 70072-3152
(504) 349-6185
Mailing address
10500 HAYNE BLVD APT 705, NEW ORLEANS, LA 70127-1385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025601
LA
Other
Enumeration date
12/16/2024
Last updated
08/17/2025
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