Provider Demographics
NPI:1629363262
Name:FAUCHEUX, DIONE CROSBY (PHARMD)
Entity Type:Individual
Prefix:
First Name:DIONE
Middle Name:CROSBY
Last Name:FAUCHEUX
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 1:4500 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-5330
Mailing Address - Country:US
Mailing Address - Phone:504-888-7536
Mailing Address - Fax:
Practice Address - Street 1:4500 VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5330
Practice Address - Country:US
Practice Address - Phone:504-888-7536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0180611835P1200X
AL154131835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy