Provider Demographics
NPI:1396181723
Name:HEBERT, ABBY MCCAULLEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:MCCAULLEY
Last Name:HEBERT
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 1:1800 W LAUREL AVE
Mailing Address - Street 2:ATTN: PHARMACY
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-2902
Mailing Address - Country:US
Mailing Address - Phone:337-457-4827
Mailing Address - Fax:337-457-4223
Practice Address - Street 1:1800 W LAUREL AVE
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-2902
Practice Address - Country:US
Practice Address - Phone:337-457-4827
Practice Address - Fax:337-457-4223
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019841183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist