Mr Kristopher Brent Blaylock, RPH - Pharmacist in Bossier City, LA

Mr Kristopher Brent Blaylock, RPH is a Pharmacist based in Bossier City, Louisiana. Mr Kristopher Brent Blaylock is licensed to practice in Louisiana (license number 15947) and his current practice location is 801 Benton Rd, Bossier City, Louisiana. He can be reached at his office (for appointments etc.) via phone at (318) 742-3509.

NPI number for Mr Kristopher Brent Blaylock is 1073947784 and his current mailing address is 801 Benton Rd, Bossier City, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073947784.

Contact Information

Mr Kristopher Brent Blaylock, RPH
801 Benton Rd,
Bossier City, LA 71111
(318) 742-3509
(318) 742-7730

Healthcare Provider's Profile

Full NameMr Kristopher Brent Blaylock
GenderMale
SpecialityPharmacist
Location801 Benton Rd, Bossier City, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073947784
  • Provider Enumeration Date: 08/29/2013
  • Last Update Date: 08/29/2013

Medical Identifiers

Medical identifiers for Mr Kristopher Brent Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073947784NPI-NPPES
LA 15947OtherLAPHARMACIST LA 15947

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 15947 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kristopher Brent Blaylock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kristopher Brent Blaylock, RPH
801 Benton Rd,
Bossier City, LA 71111-3743

Ph: (318) 742-3509
Mr Kristopher Brent Blaylock, RPH
801 Benton Rd,
Bossier City, LA 71111

Ph: (318) 742-3509

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› Verified 8 days ago


Pharmacist in Bossier City, LA

Mr. Wayne Dial,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2536 Airline Dr, Bossier City, LA 71111
Phone: 318-422-0182    
Colby Alexas Williams, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2735 Beene Blvd, Bossier City, LA 71111
Phone: 318-678-6801    
Dr. La Tisha P. Bowie, PHARM D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2107 Airline Dr, Bossier City, LA 71111
Phone: 318-742-5590    Fax: 318-742-8457
Dr. Mia Ajekwu Bassaragh, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Airline Dr., Bossier City, LA 71111
Phone: 318-741-6589    
Amy Authement, PHARM. D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1870 Airline Dr, Bossier City, LA 71112
Phone: 318-746-8401    Fax: 318-746-8402
Dr. Shawn Michael Manor, PHARM.D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 4918 Barksdale Blvd, Bossier City, LA 71112
Phone: 318-549-2107    

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