NPI 1104412154

Jefferson Drug Pharmacy

Organisation Community/Retail Pharmacy Lafayette, LA

Practice location

Address: 616 Jefferson Blvd, Lafayette, LA 70501-7206
Phone: (337) 889-3795
Fax: (337) 889-3796

Authorised official

Name: Samuel Aigbfoh
Title: Owner
Phone: (443) 540-4597

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X

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Registry record

NPI: 1104412154
Entity type: Organization
NPI issued: 14 Dec 2020
Record last updated: 7 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.