Provider Demographics
NPI:1225020753
Name:CAZENTRE, HENRY HUBERT (RPH)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:HUBERT
Last Name:CAZENTRE
Suffix:
Gender:M
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:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:GRAMERCY
Mailing Address - State:LA
Mailing Address - Zip Code:70052-0397
Mailing Address - Country:US
Mailing Address - Phone:225-869-8726
Mailing Address - Fax:
Practice Address - Street 1:303 E. MAIN STREET
Practice Address - Street 2:
Practice Address - City:GRAMERCY
Practice Address - State:LA
Practice Address - Zip Code:70052-1511
Practice Address - Country:US
Practice Address - Phone:225-869-3651
Practice Address - Fax:225-869-8826
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9579183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist