BRETT J. CHAISSON

HAMMOND, LA
NPI1205343084
Doing Business AsTHE BONE & JOINT CLINIC OF HAMMOND
Entity TypeOrganization
Authorized ContactMACKENZIE HAHN
Ncpdp Coordinator
479-636-9702
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: LA  MD.021220)
Enumeration Date2018-01-03
Last Update Date2018-01-03
Business Address
BRETT J. CHAISSON
1000 J.W. DAVIS DRIVE
HAMMOND, LA 70403
Phone number: 479-636-9702
Mailing Address
BRETT J. CHAISSON
PO BOX 3328
BENTONVILLE, AR 72712
Phone number: 479-636-9702