Individual
BLAKE TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4858 HIGHWAY 1, MATHEWS, LA 70375-2043
(985) 523-5527
Mailing address
407 SUGAR RIDGE DR, HOUMA, LA 70360-7291
(985) 232-4036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024962
LA
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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