Provider Demographics
NPI:1174845705
Name:LEVET, CRAIG M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:M
Last Name:LEVET
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 MEDICAL CENTER BLVD STE 116N
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3157
Mailing Address - Country:US
Mailing Address - Phone:504-349-6185
Mailing Address - Fax:504-349-6188
Practice Address - Street 1:1111 MEDICAL CENTER BLVD STE 116N
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3157
Practice Address - Country:US
Practice Address - Phone:504-349-6185
Practice Address - Fax:504-349-6188
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2012-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist