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Individual

BLAKE HINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
18507 JOHNNY B HALL MEMORIAL HWY, ROSEPINE, LA 70659
(337) 462-0177
Mailing address
156 FROEMMING RD, DERIDDER, LA 70634-8462
(337) 462-0177

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
023461
LA

Other

Enumeration date
03/02/2021
Last updated
03/09/2021
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