Individual
JAMES S. WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3623 JEFFERSON HWY, JEFFERSON, LA 70121-1727
(504) 831-3272
(504) 831-3272
Mailing address
622 TUCKER AVE, JEFFERSON, LA 70121-1540
(504) 834-2689
(504) 831-3272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10506
LA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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