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

MR. JOHN SCOTT BLAKE, RPH

Active Sole Proprietor

Pharmacist Clinician (PhC) · SHREVEPORT, LA

Registration Details

NPI Number
1760874135
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2015 (11.15776838051 yrs)
Last Updated
Jan 17, 2020
Licenses
30004 (LA)
014100 (LA)
Sole Proprietor
Yes

Practice Information

Address
624 TEXAS ST APT 403
SHREVEPORT, LA, 711013553
Browse LA providers · Browse ZIP 71101
Phone
3187376999
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in SHREVEPORT, LA

Name Credential NPI
MRS. CANDACE MICHELLE COLE RPH 1174878557
LOIS ROSE ANDERSON PHARMD 1902265259
MR. MARK RAYBURN R.PH. 1801345947
EDWARD GLENN BERNATOWICZ RPH 1427508456
TENERICA LASHION MADISON 1447815782
KEIR BATISTE PHARMD 1386230746
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.