Individual
MRS. JESSICA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70550 HIGHWAY 21, COVINGTON, LA 70433-8100
(985) 893-7681
Mailing address
70550 HIGHWAY 21, COVINGTON, LA 70433-8100
(985) 893-7681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19123
LA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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