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

DEREK FONTENOT

Active Sole Proprietor

DEREK FONTENOT is a Pharmacist healthcare provider located in LAKE CHARLES, Louisiana. NPI 1609311927 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · LAKE CHARLES, LA

Registration Details

NPI Number
1609311927
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2016 (9.6271441032812 yrs)
Last Updated
Dec 21, 2016
License
PST.021842 (LA)
Sole Proprietor
Yes

Practice Information

Address
2011 RYAN ST
LAKE CHARLES, LA, 706017313
Browse LA providers · Browse ZIP 70601
Phone
3375083864
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in LAKE CHARLES, LA

Name Credential NPI
GEORGE LOCK PARET III RPH 1356341390
MRS. ASHLEIGH MCINNIS TERRY PD 1003809880
MR. ROLLIE WHEELER FLAHERTY RPH. 1639337462
JOY K GUIDRY R.PH. 1134441397
JOSEPH TROY TATE BS 1174845309
MR. CHAD JOSEPH LEMOINE P.D. 1811210107
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.