Individual
JILL USSERY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15794 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 345-7979
Mailing address
9255 GREYSTONE DR, DENHAM SPRINGS, LA 70726-6475
(225) 439-4948
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017752
LA
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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