Organization
JAFORD ENTERPRISES
Active
Other names
Higher Grounds Pharmacy Ministry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEVELLE LIESA FORD P.D. (PIC)
(225) 291-0325
Entity
Organization
Contact information
Practice address
4983 BLUEBONNET BLVD, STE B, BATON ROUGE, LA 70809-3086
(225) 291-0325
(225) 291-0362
Mailing address
PO BOX 86028, BATON ROUGE, LA 70879-6028
(225) 291-0325
(225) 291-0362
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4058
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266311
—
LA
Enumeration date
11/21/2006
Last updated
05/20/2008
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