SearchLouisiana1835P0018X

John Blake, RPH

NPI 1760874135 · on the registry since 2015 · sole proprietor

Practice

Address
624 Texas St Apt 403
Shreveport, LA 71101
Phone
(318) 737-6999

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
1835P0018X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana