NPI | 1043554264 |
---|---|
Doing Business As | JEFFERSON FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | DAU TRAN Pharmacist In Charge 504-274-9972 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: LA 6622) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |