Provider Demographics
NPI:1841513983
Name:KNIGHT, INGRID RENEE (RPH)
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:RENEE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10231 BLUEBONNET BLVD APT A409
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7152
Mailing Address - Country:US
Mailing Address - Phone:716-603-3629
Mailing Address - Fax:
Practice Address - Street 1:9608 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2631
Practice Address - Country:US
Practice Address - Phone:225-292-1871
Practice Address - Fax:225-291-7384
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0216271835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist