Organization
JABS L.L.C.
Active
Other names
Russo's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SURRENCY (PHARMACIST)
(504) 394-4444
Entity
Organization
Contact information
Practice address
7902 HIGHWAY 23, BELLE CHASSE, LA 70037-2443
(504) 394-4444
(504) 391-0405
Mailing address
7902 HIGHWAY 23, BELLE CHASSE, LA 70037-2443
(504) 394-4444
(504) 391-0405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17075
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215236
—
LA
Enumeration date
04/17/2007
Last updated
01/14/2009
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