BERNADETTE ELISE JACKSON-SMALL

BATON ROUGE, LA
NPI1215228275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  16937)
Additional Taxonomies183500000X Pharmacist
(Licence: AL  11393)
Enumeration Date2011-04-26
Last Update Date2011-04-26
Business Address
Mrs. BERNADETTE ELISE JACKSON-SMALL R.Ph.
5840 PLANK RD
BATON ROUGE, LA 70805
Phone number: 225-355-4456
Mailing Address
Mrs. BERNADETTE ELISE JACKSON-SMALL R.Ph.
5840 PLANK RD
BATON ROUGE, LA 70805-1320
Phone number: 225-355-4456
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