NPI 1063771103

Jenny T Perino

Practitioner Pharmacist Slidell, LA

Practice location

Address: 2090 Gause Blvd E, Slidell, LA 70461-5431
Phone: (985) 641-3847
Mailing address: 306 Citation Dr, Madisonville, LA 70447-9112

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 45953 (LA)

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Registry record

NPI: 1063771103
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2012
Record last updated: 10 May 2012

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.