Provider Demographics
NPI:1790381259
Name:HEBERT, LATOYA (PHARMD)
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:HEBERT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 HIGHWAY 90 E
Mailing Address - Street 2:
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-5158
Mailing Address - Country:US
Mailing Address - Phone:985-395-6181
Mailing Address - Fax:985-395-2787
Practice Address - Street 1:1301 HIGHWAY 90 E
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-5158
Practice Address - Country:US
Practice Address - Phone:985-395-6181
Practice Address - Fax:985-395-2787
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.023728183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist