Samaha, Jordan Ashley

Samaha, Jordan Ashley is an sole proprietor health care provider with primary practice located at 13500 Highway 90 , Boutte LA 70039-3500. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Samaha, Jordan Ashley can be contacted via phone (985) 331-1886.

Contact Information

Primary practice address
13500 Highway 90 Boutte LA 70039-3500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202218534 Virginia
Pharmacy Service Providers / Pharmacist 183500000X PST.023269 Louisiana

Profile Details

NPI number 1497399984
LBN Legal business name Samaha, Jordan Ashley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2019
Last updated Feb 6th, 2020 - about 6 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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