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1508172214
MELVIN JACKSON
LAFAYETTE, LA
NPI
1508172214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 14588)
Enumeration Date
2010-08-19
Last Update Date
2023-01-05
Business Address
MELVIN JACKSON PD
920 W GLORIA SWITCH RD
LAFAYETTE, LA 70507-2310
Phone number: 337-896-0128
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Mailing Address
MELVIN JACKSON PD
920 W GLORIA SWITCH RD
LAFAYETTE, LA 70507-2310
Phone number: 337-896-0128
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