Individual provider · Type 1 NPI
Kourtney Kennedy Gonzalez, PST. 020858
Pharmacist · Benton, LA
Practice location
4660 Palmetto Rd Ste D
Benton, LA 71006-9742
Mailing address
485 Morgan Rd
Sarepta, LA 71071-2737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 020858 (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 1730555046
Kourtney Kennedy Gonzalez, PST. 020858's National Provider Identifier is 1730555046, issued on Aug 20, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Benton, LA. The record was last updated on Dec 29, 2023.