MELVIN JACKSON

LAFAYETTE, LA
NPI1508172214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  14588)
Enumeration Date2010-08-19
Last Update Date2023-01-05
Business Address
MELVIN JACKSON PD
920 W GLORIA SWITCH RD
LAFAYETTE, LA 70507-2310
Phone number: 337-896-0128
Mailing Address
MELVIN JACKSON PD
920 W GLORIA SWITCH RD
LAFAYETTE, LA 70507-2310
Phone number: 337-896-0128