Provider Demographics
NPI:1538307210
Name:BADEAUX, CURTIS JOSEPH JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:JOSEPH
Last Name:BADEAUX
Suffix:JR
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 1:6096 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-1808
Mailing Address - Country:US
Mailing Address - Phone:985-876-2584
Mailing Address - Fax:985-876-5050
Practice Address - Street 1:6096 W PARK AVE
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-1808
Practice Address - Country:US
Practice Address - Phone:985-876-2584
Practice Address - Fax:985-876-5050
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15388183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist