Individual
JULIE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1203 BUSINESS 190, COVINGTON, LA 70433-3278
(985) 893-7476
Mailing address
1203 BUSINESS 190, COVINGTON, LA 70433-3278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021039
LA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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