Provider Demographics
NPI:1417233610
Name:DUCRE, ADONIS ALVIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADONIS
Middle Name:ALVIN
Last Name:DUCRE
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 1:24527 ROYAL PIKE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3163
Mailing Address - Country:US
Mailing Address - Phone:504-269-7965
Mailing Address - Fax:
Practice Address - Street 1:24527 ROYAL PIKE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3163
Practice Address - Country:US
Practice Address - Phone:504-269-7965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.293655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist