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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KRISTOPHER BRENT BLAYLOCK, RPH

Active Sole Proprietor

MR. KRISTOPHER BRENT BLAYLOCK, RPH is a Pharmacist healthcare provider located in BOSSIER CITY, Louisiana. NPI 1073947784 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BOSSIER CITY, LA

Registration Details

NPI Number
1073947784
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2013 (12.774995594107 yrs)
Last Updated
Aug 29, 2013
License
15947 (LA)
Sole Proprietor
Yes

Practice Information

Address
801 BENTON RD
BOSSIER CITY, LA, 71111
Browse LA providers · Browse ZIP 71111
Phone
3187423509
Fax
3187427730
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BOSSIER CITY, LA

Name Credential NPI
DR. WILLIAM WAYNE MCCULLAR R.PH., PHARMD 1205951878
ELVA Y ROMERO 1386888485
TIFFANY CATHLEEN LUSE UPSHAW PHARM.D. 1154654945
JUSTIN M LEBLANC PHARM. D. 1164737565
STACY WYATT RPH 1477868214
RONDA JEANNETTE DIETZEL PHARMD 1508173774
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.