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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LADERA JACKSON

Active

LADERA JACKSON is a Pharmacist healthcare provider located in SHREVEPORT, Louisiana. NPI 1275959488 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SHREVEPORT, LA

Registration Details

NPI Number
1275959488
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2014 (12.400309842474 yrs)
Last Updated
Mar 12, 2014
License
18259 (LA)

Practice Information

Address
6235 WESTPORT AVE
SHREVEPORT, LA, 711292503
Browse LA providers · Browse ZIP 71129
Phone
3186887705
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in SHREVEPORT, LA

Name Credential NPI
FRANK TAYLOR WATSON P.D. 1295727311
DR. CARROLL BUCK ATKINS JR. DMD 1689607517
MARK STEVEN NELSON R.PH. 1609883818
MRS. CARROLL DAWN PIRKEY RPH 1649288192
MR. WILLIAM F O'CONNELL R.PH 1508875691
MR. ROBERT JOSEPH HOLOUBEK R PH 1699784793
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.