Provider Demographics
NPI:1134377484
Name:ROBICHAUX, BARRY (PD)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:ROBICHAUX
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 HUMMINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-1180
Mailing Address - Country:US
Mailing Address - Phone:985-851-1278
Mailing Address - Fax:
Practice Address - Street 1:516 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:LA
Practice Address - Zip Code:70392
Practice Address - Country:US
Practice Address - Phone:985-395-3346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist