Provider Demographics
NPI:1063258333
Name:LOUVIERRE, SANDERS JOSEPH III (PHARMD)
Entity type:Individual
Prefix:
First Name:SANDERS
Middle Name:JOSEPH
Last Name:LOUVIERRE
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 E KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-3035
Mailing Address - Country:US
Mailing Address - Phone:318-751-4995
Mailing Address - Fax:
Practice Address - Street 1:1017 E ADMIRAL DOYLE DR
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-6710
Practice Address - Country:US
Practice Address - Phone:133-736-7797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.025219183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist