Individual
JAMIE TYCER COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15790 PAUL VEGA MD DRIVE, HAMMOND, LA 70403
(985) 230-6442
Mailing address
15790 PAUL VEGA MD DRIVE, HAMMOND, LA 70403
(985) 230-6442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16577
LA
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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