Provider Demographics
NPI:1669787685
Name:PONTHIER, ERROL JR (RPH)
Entity type:Individual
Prefix:
First Name:ERROL
Middle Name:
Last Name:PONTHIER
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 HIGHWAY 28 E
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-5713
Mailing Address - Country:US
Mailing Address - Phone:318-229-4185
Mailing Address - Fax:318-229-4186
Practice Address - Street 1:236 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-3052
Practice Address - Country:US
Practice Address - Phone:318-240-7149
Practice Address - Fax:318-240-7437
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist