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1982294252
FAITH Y JACKSON
LAKE CHARLES, LA
NPI
1982294252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 023730)
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
FAITH Y JACKSON PharmD
2000 RYAN ST
LAKE CHARLES, LA 70601-7314
Phone number: 337-439-4241
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Mailing Address
FAITH Y JACKSON PharmD
2724 GENERAL MOORE AVE
LAKE CHARLES, LA 70615-8110
Phone number:
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