Provider Demographics
NPI:1679115828
Name:STOCKTON, HALEY BROOKE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:BROOKE
Last Name:STOCKTON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 WATER ST
Mailing Address - Street 2:
Mailing Address - City:LECOMPTE
Mailing Address - State:LA
Mailing Address - Zip Code:71346-9545
Mailing Address - Country:US
Mailing Address - Phone:318-776-5649
Mailing Address - Fax:318-776-9212
Practice Address - Street 1:1806 WATER ST
Practice Address - Street 2:
Practice Address - City:LECOMPTE
Practice Address - State:LA
Practice Address - Zip Code:71346-9545
Practice Address - Country:US
Practice Address - Phone:318-776-5649
Practice Address - Fax:318-776-9212
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist