Provider Demographics
NPI:1912977745
Name:RAPPAPORT, HARVEY (D PHARM)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:
Last Name:RAPPAPORT
Suffix:
Gender:M
Credentials:D PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2714
Mailing Address - Country:US
Mailing Address - Phone:328-343-9110
Mailing Address - Fax:
Practice Address - Street 1:20 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2714
Practice Address - Country:US
Practice Address - Phone:328-343-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist