Individual
DR. ROBERT GLENN AUCOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
5000 HENNESSY BLVD, PHARMACY DEPARTMENT, BATON ROUGE, LA 70808-4375
(225) 765-7652
(225) 765-8410
Mailing address
10240 HACKBERRY DR, BATON ROUGE, LA 70809-2824
(225) 293-3712
(225) 765-8410
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11290
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11290
PHARMACY CERTIFICATE
LA
Enumeration date
04/12/2007
Last updated
07/08/2007
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