Individual
JESSE EUGENE REEVES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1982 N RAILROAD AVE, ARCADIA, LA 71001-3422
(318) 263-2919
(318) 263-9819
Mailing address
1982 N RAILROAD AVE, ARCADIA, LA 71001-3422
(318) 263-2919
(318) 263-9819
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.010221
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.010221
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
01/07/2021
Last updated
01/07/2021
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