Individual
BRITANY KEYON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
309 LINDA ANN AVE, GRAY, LA 70359-3316
(985) 665-7818
Mailing address
309 LINDA ANN AVE, GRAY, LA 70359
(985) 665-7818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19853
LA
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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