Derek Fontenot

Pharmacist · Lake Charles, LA

Individual Active NPI

NPI number 1609311927

Practice location

2011 Ryan St
Lake Charles, LA 70601-7313
Phone
(337) 508-3864

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NPI record

NPI
1609311927
Entity type
Individual (Type 1)
Enumeration date
December 21, 2016
Last updated
December 21, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PST.021842 LA

Mailing address

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

About Derek Fontenot

Derek Fontenot is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2011 Ryan St, Lake Charles, LA 70601-7313. The NPI number 1609311927 was assigned on December 21, 2016 and the record was last updated on December 21, 2016.

Derek Fontenot lists a license in the registry: #PST.021842 (LA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek Fontenot?

The NPI number is 1609311927.

What is the phone number of Derek Fontenot?

The phone number listed for the practice location is (337) 508-3864.

Where is Derek Fontenot located?

2011 Ryan St, Lake Charles, LA 70601-7313.

What is the taxonomy code for Derek Fontenot?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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