IndividualActive
Brooke Baetz, PHARMD
NPI 1609139864 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Jefferson, LA
Provider details
- NPI number
- 1609139864
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- PST.019413 (LA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1514 Jefferson Hwy
Jefferson, LA 70121-2429
Phone: (150) 484-2657
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Jefferson Hwy
Jefferson, LA 70121-2429
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2012-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.