Organization · Type 2 NPI

Jefferson Drug Pharmacy

Community/Retail Pharmacy · Lafayette, LA

NPI number 1104412154 Active

Practice location

616 Jefferson Blvd
Lafayette, LA 70501-7206

Fax (337) 889-3796

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1104412154
Entity type: Organization (Type 2)
Issued: Dec 14, 2020
Last updated: May 7, 2025
Status: Active

Other names

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Jefferson Drug Pharmacy · doing business as
Jefferson Drug Pharmacy · doing business as

Authorized official

Dr. Samuel Aigbfoh, PharmD
Owner
(443) 540-4597

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104412154

Jefferson Drug Pharmacy's National Provider Identifier is 1104412154, issued on Dec 14, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lafayette, LA. The record was last updated on May 7, 2025.