Individual
ASHLYN MCKENZIE BALTHAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 HORRIDGE ST, VINTON, LA 70668-4531
(337) 324-7017
Mailing address
1301 HORRIDGE ST, VINTON, LA 70668-4531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024813
LA
183500000X
Pharmacist
69341
TX
Other
Enumeration date
09/22/2021
Last updated
10/14/2023
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