Individual
MARK D CHAMBLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
11080 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-7001
(225) 273-6525
(225) 274-9714
Mailing address
11080 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-7001
(225) 273-6525
(225) 274-9714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13525
LA
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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