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1104412154
JEFFERSON DRUG PHARMACY
LAFAYETTE, LA
NPI
1104412154
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Entity Type
Organization
Authorized Contact
SAMUEL AIGBFOH
Owner
443-540-4597
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy Community/Retail Pharmacy
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
JEFFERSON DRUG PHARMACY
616 JEFFERSON BLVD
LAFAYETTE, LA 70501-7206
Phone number: 337-889-3795
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Mailing Address
JEFFERSON DRUG PHARMACY
1019 KALISTE SALOOM RD APT 708
LAFAYETTE, LA 70508-4954
Phone number: 435-404-5974
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