| Mr Kristopher Brent Blaylock, RPH | |
| 801 Benton Rd, Bossier City, LA 71111 | |
| (318) 742-3509 | |
| (318) 742-7730 | 
| Full Name | Mr Kristopher Brent Blaylock | 
|---|---|
| Gender | Male | 
| Speciality | Pharmacist | 
| Location | 801 Benton Rd, Bossier City, Louisiana | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073947784 | NPI | - | NPPES | 
| LA 15947 | Other | LA | PHARMACIST LA 15947 | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 183500000X | Pharmacist | 15947 (Louisiana) | Primary | 
| Mailing Address | Practice 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 | 
| 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 |