JORDAN RAYCE DALE

HAMMOND, LA
NPI1730594722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.020604)
Enumeration Date2014-06-27
Last Update Date2021-01-01
Business Address
JORDAN RAYCE DALE Pharm. D.
2799 W THOMAS ST
HAMMOND, LA 70401-2838
Phone number: 985-542-5582
Mailing Address
JORDAN RAYCE DALE Pharm. D.
2799 W THOMAS ST
HAMMOND, LA 70401-2838
Phone number: 985-542-5582
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