Provider Demographics
NPI:1477836252
Name:CHAUVIN, MARCEL A (RPH)
Entity Type:Individual
Prefix:MR
First Name:MARCEL
Middle Name:A
Last Name:CHAUVIN
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 1:7015 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-2850
Mailing Address - Country:US
Mailing Address - Phone:985-879-2407
Mailing Address - Fax:985-851-7123
Practice Address - Street 1:7015 PARK AVE
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-2850
Practice Address - Country:US
Practice Address - Phone:985-879-2407
Practice Address - Fax:985-851-7123
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist