Provider Demographics
NPI:1114312824
Name:MESSER, VALARIE A (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:VALARIE
Middle Name:A
Last Name:MESSER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-6324
Mailing Address - Country:US
Mailing Address - Phone:770-286-8131
Mailing Address - Fax:
Practice Address - Street 1:7015 PARK AVE
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-2850
Practice Address - Country:US
Practice Address - Phone:855-879-2407
Practice Address - Fax:985-851-7123
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.021610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist