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Individual

JASMINE FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
5801 MAIN ST, ZACHARY, LA 70791-4028
(225) 654-0313
Mailing address
PO BOX 66072, BATON ROUGE, LA 70896-6072
(504) 609-0221

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022769
LA
183500000X
Pharmacist
14013
MS
183500000X
Pharmacist
59567
TX

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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