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Jordan Thibodaux, RPH

NPI 1164946489 · on the registry since 2017 · sole proprietor

Practice

Address
999 Robert Blvd
Slidell, LA 70458
Phone
(985) 643-7894
Fax
(985) 649-2183
Organisation at this address
B S Pharmacy Llc
C & T Pharmacy Llc
C & T Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana