Provider Demographics
NPI:1588474068
Name:JEANNE GROUP LLC
Entity type:Organization
Organization Name:JEANNE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:PICOU
Authorized Official - Last Name:BRUNET
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:985-873-8526
Mailing Address - Street 1:7869 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4487
Mailing Address - Country:US
Mailing Address - Phone:985-873-8526
Mailing Address - Fax:985-873-8541
Practice Address - Street 1:926 7TH ST
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1904
Practice Address - Country:US
Practice Address - Phone:985-384-3071
Practice Address - Fax:985-384-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy