Individual
JEREMY YANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2230 GAUSE BLVD E, SLIDELL, LA 70461-4231
(985) 781-7541
Mailing address
2230 GAUSE BLVD E, SLIDELL, LA 70461-4231
(985) 781-7541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024022
LA
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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