Organization
ROBERT B VIDRINE BLAKES FAMILY PHARMACY
Active
Other names
Blakes Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BLAKE VIDRINE PD (OWNER)
(337) 363-6252
Entity
Organization
Contact information
Practice address
512 MCARTHUR DR., VILLE PLATTE, LA 70586-2906
(337) 363-6252
(337) 363-0477
Mailing address
PO BOX 348, 512 MC ARTHUR DR, VILLE PLATTE, LA 70586-0348
(337) 363-6252
(337) 363-0477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10232
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1204471
—
LA
Enumeration date
02/13/2007
Last updated
06/13/2008
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