Organization
JEANSONNE FAMILY PHARMACY, LLC
Active
Other names
Jeansonne Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN JEANSONNE (OWNER)
(985) 264-0512
Entity
Organization
Contact information
Practice address
521 ASBURY DRIVE, MANDEVILLE, LA 70471
(985) 951-2688
(985) 951-2691
Mailing address
521 ASBURY DRIVE, MANDEVILLE, LA 70471
(985) 951-2688
(985) 951-2691
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205633
—
LA
Enumeration date
02/26/2018
Last updated
12/10/2021
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