Rousseau, Djenane

Rousseau, Djenane is an individual health care provider with primary practice located at 4140 Hollywood , Shreveport LA 71109. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Rousseau, Djenane can be contacted via phone (318) 632-0325.

Contact Information

Primary practice address
4140 Hollywood Shreveport LA 71109
Phone: (318) 632-0325
Fax: (318) 621-0169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13699 Louisiana
Pharmacy Service Providers / Pharmacist 183500000X 28471R Louisiana

Profile Details

NPI number 1316009624
LBN Legal business name Rousseau, Djenane
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316009624 NPPES
Other 1925215 NABP
MEDICAID 1261408 NABP

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