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Jeffrey Bonaventure
NPI 1174980940 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1401 N Foster Dr
Baton Rouge, LA 70806 - Phone
- (225) 987-9105
- Fax
- (225) 987-9104
- Organisation at this address
- Mid-City Pharmacy
Our Lady Of The Lake Hospital
Lsahsc Earl K. Long Medical Center
Our Lady Of The Lake Physician Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-25
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