Provider Demographics
NPI:1649458571
Name:ALLAIN, JAMES E JR
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:ALLAIN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:EDDIE
Other - Middle Name:
Other - Last Name:ALLAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:460 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROADS
Mailing Address - State:LA
Mailing Address - Zip Code:70760-2623
Mailing Address - Country:US
Mailing Address - Phone:225-638-8616
Mailing Address - Fax:225-638-7862
Practice Address - Street 1:460 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:NEW ROADS
Practice Address - State:LA
Practice Address - Zip Code:70760-2623
Practice Address - Country:US
Practice Address - Phone:225-638-8616
Practice Address - Fax:225-638-7862
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2016-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA012051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist