Individual
STACEY PAUL LABORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
839 S CLEARVIEW PKWY, JEFFERSON, LA 70121-3119
(504) 581-8876
Mailing address
839 S CLEARVIEW PKWY, JEFFERSON, LA 70121-3119
(504) 581-8876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017947
LA
Other
Enumeration date
10/18/2019
Last updated
12/31/2019
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