Provider Demographics
NPI:1265749725
Name:TOWNSEND, SANDI THIBODEAUX (RPH)
Entity type:Individual
Prefix:MRS
First Name:SANDI
Middle Name:THIBODEAUX
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13002 COURSEY BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4964
Mailing Address - Country:US
Mailing Address - Phone:225-756-7110
Mailing Address - Fax:225-756-7109
Practice Address - Street 1:13002 COURSEY BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4964
Practice Address - Country:US
Practice Address - Phone:225-756-7110
Practice Address - Fax:225-756-7109
Is Sole Proprietor?:No
Enumeration Date:2010-09-04
Last Update Date:2010-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1972525509OtherNPI