Whalio Doctors

NPI 1740492974

Carrie Banta Mix, CPHT

Practitioner Pharmacy Technician Baton Rouge, LA

Practice location

Address
13565 Hooper Rd, Baton Rouge, LA 70818-2912
Phone
(225) 262-6200
Fax
(225) 262-6578
Mailing address
17463 Hearthwood Dr, Greenwell Springs, LA 70739-5311

Registered specialties

Pharmacy Technician Primary
Pharmacy Service Providers Taxonomy 183700000X Licence 7630 (LA)

Registry record

NPI
1740492974
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.