Provider Demographics
NPI:1174851133
Name:STOKES, VICKI GUIDRY (RPH)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:GUIDRY
Last Name:STOKES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:THIBODEAUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34865 LA HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-0669
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34865 LA HWY 16
Practice Address - Street 2:
Practice Address - City:WATSON
Practice Address - State:LA
Practice Address - Zip Code:70706-1397
Practice Address - Country:US
Practice Address - Phone:225-665-2428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33598183500000X
LA16643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist