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Individual

JENNIFER HIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, BCPS, BCGP

Contact information

Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-8090
(337) 531-3158
Mailing address
PO BOX 289, LEESVILLE, LA 71496-0289

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03227982
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
014709
KY

Other

Enumeration date
11/08/2011
Last updated
08/05/2022
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