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Mr. Kristopher Brent Blaylock, RPH
Pharmacist in Bossier City, Louisiana
NPI 1073947784

Kristopher Brent Blaylock is a Pharmacist based in Bossier City, LA. Kristopher Brent Blaylock practices in Bossier City, LA and has the professional credentials of RPH. The NPI Number for Kristopher Brent Blaylock is 1073947784 and holds a License No. 15947 (Louisiana).

The current practice location address for Kristopher Brent Blaylock is 801 Benton Rd, Bossier City, LA and can be reached out via phone at 318-742-3509 and via fax at 318-742-7730.

Location: 801 Benton Rd, Bossier City, LA, 71111-3743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073947784
Provider Name
Kristopher Brent Blaylock
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
801 Benton Rd, Bossier City, LA, 71111-3743
Phone Number
318-742-3509
Fax Number
318-742-7730
Provider Enumeration Date
08/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LA 15947 01 LA PHARMACIST LA 15947
institution
Provider Business Practice Location Address Details
Address
801 Benton Rd
City
Bossier City
State
Louisiana
Zip
71111
Phone Number
318-742-3509
Fax Number
318-742-7730
person
Provider Business Mailing Address Details
Address
801 Benton Rd
City
Bossier City
State
Louisiana
Zip
71111
Phone Number
318-742-3509
Fax Number
318-742-7730
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
15947 (Louisiana)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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