Individual provider · Type 1 NPI

Derek Fontenot

Pharmacist · Lake Charles, LA

NPI number 1609311927 Active

Practice location

2011 Ryan St
Lake Charles, LA 70601-7313

Mailing address

1531 Country Club Rd Apt 511
Lake Charles, LA 70605-5343

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPST.021842 (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 1609311927

Derek Fontenot's National Provider Identifier is 1609311927, issued on Dec 21, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake Charles, LA. The record was last updated on Dec 21, 2016.