NPI | 1639670672 |
---|---|
Doing Business As | JEANSONNE FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | BRYAN JEANSONNE Owner 985-264-0512 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2018-02-26 |
Last Update Date | 2021-12-10 |