Individual
JONTAE DEION WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 897-5813
(425) 620-3727
Mailing address
PO BOX 534, BOONEVILLE, MS 38829-0534
(662) 416-4350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26029254A
IN
183500000X
Pharmacist
E100311
MS
183500000X
Pharmacist
Primary
PST.024890
LA
Other
Enumeration date
12/25/2021
Last updated
08/04/2023
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