Provider Demographics
NPI:1558644666
Name:VALOIS, HENRI LOUIS III
Entity Type:Individual
Prefix:MR
First Name:HENRI
Middle Name:LOUIS
Last Name:VALOIS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2968 ACUSHNET AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-3620
Mailing Address - Country:US
Mailing Address - Phone:508-998-3457
Mailing Address - Fax:508-998-0084
Practice Address - Street 1:2968 ACUSHNET AVE
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-3620
Practice Address - Country:US
Practice Address - Phone:508-998-3457
Practice Address - Fax:508-998-0084
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232498183500000X
RIRPH04871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist