Provider Demographics
NPI:1124335922
Name:GARCILLE, ALISON PITRE (PHARM D)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:PITRE
Last Name:GARCILLE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:PITRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2517 KALISTE SALOOM RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6811
Mailing Address - Country:US
Mailing Address - Phone:337-216-9187
Mailing Address - Fax:
Practice Address - Street 1:2517 KALISTE SALOOM RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6811
Practice Address - Country:US
Practice Address - Phone:337-216-9187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18580183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist