Provider Demographics
NPI:1336406347
Name:MENARD, TRICIA FEUCHT (RPH)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:FEUCHT
Last Name:MENARD
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 1:185 WINDVALE CT
Mailing Address - Street 2:
Mailing Address - City:SUNSET
Mailing Address - State:LA
Mailing Address - Zip Code:70584-6138
Mailing Address - Country:US
Mailing Address - Phone:337-662-6335
Mailing Address - Fax:
Practice Address - Street 1:4400 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6760
Practice Address - Country:US
Practice Address - Phone:337-984-5133
Practice Address - Fax:337-984-4465
Is Sole Proprietor?:No
Enumeration Date:2012-04-15
Last Update Date:2012-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17324183500000X
TX38633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist