Provider Demographics
NPI:1861772048
Name:TOEPFER, ROBERT D (PD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:TOEPFER
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:BOB
Other - Middle Name:
Other - Last Name:TOEPFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PD
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:31696 LA. HWY 22
Mailing Address - City:SPRINGFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:70462-0010
Mailing Address - Country:US
Mailing Address - Phone:225-294-5045
Mailing Address - Fax:225-294-2142
Practice Address - Street 1:31696 LA HWY 22
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:LA
Practice Address - Zip Code:70462-0010
Practice Address - Country:US
Practice Address - Phone:225-294-5045
Practice Address - Fax:225-294-2142
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11626183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist