IndividualActive
John Blake, RPH
NPI 1760874135 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Shreveport, LA
Provider details
- NPI number
- 1760874135
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30004 (LA)
Practice location
624 Texas St Apt 403
Shreveport, LA 71101-3553
Phone: (318) 737-6999
Mailing address
624 Texas St Apt 403
Shreveport, LA 71101-3553
Registry dates
- Enumerated
- 2015-02-23
- Last updated
- 2020-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.