BRETT J. CHIASSON

HAMMOND, LA
NPI1982115333
Doing Business AsBONE & JOINT CLINIC OF HAMMOND
Entity TypeOrganization
Authorized ContactMACKENZIE HAHN
Ncpdp Coordinator
479-636-9702
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: LA  MD.021220)
Enumeration Date2017-10-12
Last Update Date2017-10-12
Business Address
BRETT J. CHIASSON
1000 JW DAVIS DR.
HAMMOND, LA 70403
Phone number: 479-636-9702
Mailing Address
BRETT J. CHIASSON
PO BOX 1784
BENTONVILLE, AR 72712
Phone number: 479-636-9702