Individual
JARED RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3304 CYPRESS ST, WEST MONROE, LA 71291-7308
(318) 651-9171
Mailing address
242 JIMMY LEE LN, WEST MONROE, LA 71292-9010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022198
LA
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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