Provider Demographics
NPI:1699187823
Name:LOUIS, EUGENE (RPH)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:
Last Name:LOUIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:EUGENE
Other - Middle Name:
Other - Last Name:LOUIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:6678 HEATHERWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-2848
Mailing Address - Country:US
Mailing Address - Phone:916-421-4077
Mailing Address - Fax:
Practice Address - Street 1:1601 1/2 WEST CAPITAL AVE.
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691
Practice Address - Country:US
Practice Address - Phone:916-372-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31885183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist