Organization
JEFFERSON PHARMACY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD T DJAPNI PHD (OWNER)
(337) 255-4238
Entity
Organization
Contact information
Practice address
620 JEFFERSON BLVD, LAFAYETTE, LA 70501-7206
(337) 234-1428
(337) 234-1429
Mailing address
620 JEFFERSON BLVD, LAFAYETTE, LA 70501
(337) 234-1428
(337) 234-1429
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207113
—
LA
Enumeration date
11/27/2006
Last updated
09/10/2019
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