Ladera Jackson
Ladera Jackson is a Pharmacist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2014.
- Licensed in
- LA
- In the registry since
- 2014
Practice location Address checks out
6235 Westport AveShreveport, LA 71129-2503
Phone: (318) 688-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 18259 (LA) |
|---|
Record details
| NPI number | 1275959488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 12, 2014 |
| Last updated in NPPES | March 12, 2014 |
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