Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack's Discount Pharmacy

Organization Community/Retail Pharmacy · NPI 1073746988

Jack's Discount Pharmacy is a Community/Retail Pharmacy in Jefferson, Louisiana. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

4400 Jefferson Hwy
Jefferson, LA 70121-1309
Phone: (504) 252-4717
Fax: (504) 602-9847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1073746988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jackson — Llc Member/Manager · (504) 252-4747
NPI enumeratedAugust 25, 2009
Last updated in NPPESSeptember 8, 2010
Mailing address440 Central Ave, Jefferson, LA 70121-3408

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