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David Jacob Roark
Pharmacist in Ruston, Louisiana
NPI 1679184352

David Jacob Roark is a Pharmacist based in El Dorado, LA. David Jacob Roark practices in Ruston, LA. The NPI Number for David Jacob Roark is 1679184352 and holds a License No. 023778 (Louisiana).

The current practice location address for David Jacob Roark is 104 W Line Ave, Ruston, LA and can be reached out via phone at 318-255-7363 and via fax at 318-255-7365.

Location: 104 W Line Ave, Ruston, LA, 71730-3351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679184352
Provider Name
David Jacob Roark
Credential
Provider Entity Type
Individual
Gender
Male
Address
104 W Line Ave, Ruston, LA, 71730-3351
Phone Number
318-255-7363
Fax Number
318-255-7365
Provider Enumeration Date
08/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 W Line Ave
City
Ruston
State
Louisiana
Zip
71270-5044
Phone Number
318-255-7363
Fax Number
318-255-7365
person
Provider Business Mailing Address Details
Address
104 W Line Ave
City
Ruston
State
Louisiana
Zip
71270-5044
Phone Number
318-255-7363
Fax Number
318-255-7365
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
023778 (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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