Provider Demographics
NPI:1588783088
Name:INKROTT, RONALD E (RPH)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:E
Last Name:INKROTT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:18910 AUCOIN LN
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:LA
Mailing Address - Zip Code:70754-4922
Mailing Address - Country:US
Mailing Address - Phone:225-933-7533
Mailing Address - Fax:225-344-4197
Practice Address - Street 1:220 N ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:PORT ALLEN
Practice Address - State:LA
Practice Address - Zip Code:70767-2514
Practice Address - Country:US
Practice Address - Phone:225-343-7855
Practice Address - Fax:225-344-4197
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA289541835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy