Individual provider · Type 1 NPI
Tina Detillier
Pharmacist · Raceland, LA
Practice location
108 Acadia Dr
Raceland, LA 70394-0108
Mailing address
5170 Highway 1
Raceland, LA 70394-5170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 14742 (LA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1174651335
Tina Detillier's National Provider Identifier is 1174651335, issued on Mar 1, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Raceland, LA. The record was last updated on Jul 8, 2007.