Bergeron, Jacqueline Frances

Bergeron, Jacqueline Frances is an individual health care provider with primary practice located at 213 Hospital Rd Winn Dixie Pharmacy #1572, New Roads LA 70760. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bergeron, Jacqueline Frances can be contacted via phone (225) 638-5151.

Contact Information

Primary practice address
213 Hospital Rd Winn Dixie Pharmacy #1572 New Roads LA 70760
Phone: (225) 638-5151
Fax: (225) 638-5148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11853 Louisiana

Profile Details

NPI number 1811092372
LBN Legal business name Bergeron, Jacqueline Frances
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811092372 NPPES
Louisiana MEDICAID 1262455

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