Provider Demographics
NPI:1376659441
Name:LOUVIERE, DANA A (RPH)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:A
Last Name:LOUVIERE
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 1:508 BROADMOOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5204
Mailing Address - Country:US
Mailing Address - Phone:337-981-1566
Mailing Address - Fax:
Practice Address - Street 1:508 BROADMOOR BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-5204
Practice Address - Country:US
Practice Address - Phone:337-981-1566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist