RAVEN S JACKSON

MARRERO, LA
NPI1285034553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.021789)
Additional Taxonomies183500000X Pharmacist
(Licence: IN  26025677A)
Enumeration Date2014-08-24
Last Update Date2016-11-21
Business Address
-- RAVEN S JACKSON PharmD
1111 MEDICAL CENTER BLVD S 850
MARRERO, LA 70072-3151
Phone number: 504-349-6450
Mailing Address
-- RAVEN S JACKSON PharmD
1111 MEDICAL CENTER BLVD S 850
MARRERO, LA 70072-3151
Phone number: 504-349-6450