Provider Demographics
NPI:1841623709
Name:BELLARD, ARLEEN MARIE (RPH)
Entity type:Individual
Prefix:MRS
First Name:ARLEEN
Middle Name:MARIE
Last Name:BELLARD
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 1:174 DAN DR
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-6859
Mailing Address - Country:US
Mailing Address - Phone:337-945-1570
Mailing Address - Fax:
Practice Address - Street 1:806 ODD FELLOWS RD
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-2214
Practice Address - Country:US
Practice Address - Phone:337-783-8316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist