Individual
JIMMY QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
2557 CRESTWOOD RD, MARRERO, LA 70072-5704
(504) 710-1899
Mailing address
2557 CRESTWOOD RD, MARRERO, LA 70072
(504) 710-1899
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020728
LA
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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