Denikka Latoya Hull

Individual provider Active NPI Pharmacist · Geismar, LA

NPI 1639416993 · NPPES record last updated Jan 20, 2023

Key facts

NPI
1639416993
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
016636 (LA)
Practice address
12506 Highway 73
Geismar, LA 70734-3209
Phone
(225) 677-7607
Fax
(225) 677-7608
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
016636LAMDPharmacist
PST.16636LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co. Current
since Jan 22, 2023
Accepting new patients
Louisiana CVS Pharmacy, L.L.C. Past Accepting new patients
Louisiana CVS Pharmacy LLC Past Accepting new patients
Walgreen Co Past
since Jan 22, 2023
Accepting new patients

Locations

12506 Highway 73
Geismar, LA 70734
Phone (225) 677-7607

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.16636 LA
Pharmacist 183500000X 016636 LA Yes

Addresses

Primary practice location

12506 Highway 73
Geismar, LA 70734-3209

Mailing address

12506 Highway 73
Geismar, LA 70734-3209
Phone (225) 677-7607

Other names

  • Dr. Denikka Latoya Hull-Blackmon Other name

Other providers in Geismar, LA

All providers in Geismar, LA · Pharmacist in Louisiana

Sources for this page

Verify at the official NPI Registry.