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Search › Louisiana › Pharmacist

Ladera Jackson

NPI 1275959488 · on the registry since 2014

Practice

Address
6235 Westport Ave
Shreveport, LA 71129
Phone
(318) 688-7705
Organisation at this address
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Pharmacist
183500000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-12

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