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NPI Code Detail

MEDICARE: JEFFREY TODD CHAMBERLAIN JR.

MEDICARE: JEFFREY TODD CHAMBERLAIN JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPST.025537LA

General Provider Information

NPI Number : 1972435840
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY TODD CHAMBERLAIN JR.
Provider Business Mailing Address
First Line : 209 E NORTH LOOP
Second Line :
City : OAKDALE
State : LA
Zip : 71463-2053
Country : US
Telephone Number : 318-306-0386
Fax Number :
Provider Business Practice Location Address
First Line : 2204 S 5TH ST
Second Line :
City : LEESVILLE
State : LA
Zip : 71446-5318
Country : US
Telephone Number : 337-238-9305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ JEFFREY TODD CHAMBERLAIN JR. ” Practice Location

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