Individual
MR. BLAKE P PITRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13087 WEST MAIN ST, LAROSE, LA 70363
(985) 693-7496
(985) 798-7997
Mailing address
301 ROBERTA GROVE BLVD, HOUMA, LA 70363-5465
(985) 876-0507
(985) 798-7997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.008604-G
LA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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