Provider Demographics
NPI:1710976063
Name:FEUCHT, CHARLES S (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:S
Last Name:FEUCHT
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1288
Mailing Address - Street 2:440 N 2ND
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-1288
Mailing Address - Country:US
Mailing Address - Phone:337-457-4604
Mailing Address - Fax:337-546-0900
Practice Address - Street 1:440 N SECOND ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-3342
Practice Address - Country:US
Practice Address - Phone:337-457-4604
Practice Address - Fax:337-546-0900
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA110381835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy