JEFFREY TODD LONG

BROUSSARD, LA
NPI1457760639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  13553)
Enumeration Date2014-08-12
Last Update Date2014-08-12
Business Address
-- JEFFREY TODD LONG Rph
123 SAINT NAZAIRE RD
BROUSSARD, LA 70518-4202
Phone number: 337-837-8131
Mailing Address
-- JEFFREY TODD LONG Rph
123 SAINT NAZAIRE RD
BROUSSARD, LA 70518-4202
Phone number: 337-837-8131
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