Provider Demographics
NPI:1033299722
Name:VIGUERIE, CONNIE PITRE (RPH)
Entity type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:PITRE
Last Name:VIGUERIE
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 1:303 VALHI BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-6284
Mailing Address - Country:US
Mailing Address - Phone:985-876-5779
Mailing Address - Fax:
Practice Address - Street 1:4041 WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3179
Practice Address - Country:US
Practice Address - Phone:504-443-3889
Practice Address - Fax:504-443-3906
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9632183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist