NPI 1245710920

Jefferey Douglas Adair MD

Organisation Non-Pharmacy Dispensing Site Shreveport, LA

Practice location

Address: 8860 Fern Ave. Suite 120, Shreveport, LA 71105
Phone: (318) 841-9999
Fax: (318) 841-9996
Mailing address: 200 Rittenhouse Circle East Building STE 5, Bristol, PA 19007

Authorised official

Name: Mackenzie Hahn
Title: Ncpdp Coordinator
Phone: (855) 296-3757

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence MD.020437 (LA)

Other Non-Pharmacy Dispensing Site providers in Louisiana →

Registry record

NPI: 1245710920
Entity type: Organization
NPI issued: 21 Aug 2018
Record last updated: 21 Aug 2018

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.