Provider Demographics
NPI:1831516434
Name:SAUVIAC, NEAL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:
Last Name:SAUVIAC
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2536 AIRLINE DR
Mailing Address - Street 2:2536 AIRLINE DR.
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5813
Mailing Address - Country:US
Mailing Address - Phone:318-747-7513
Mailing Address - Fax:318-747-8816
Practice Address - Street 1:2536 AIRLINE DR
Practice Address - Street 2:2536 AIRLINE DR.
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5813
Practice Address - Country:US
Practice Address - Phone:318-747-7513
Practice Address - Fax:318-747-8816
Is Sole Proprietor?:No
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.018784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist