Provider Demographics
NPI:1194983619
Name:HUVAL, SHERI GUILBEAU (RPH)
Entity type:Individual
Prefix:MS
First Name:SHERI
Middle Name:GUILBEAU
Last Name:HUVAL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:GUILBEAU
Other - Last Name:HUVAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:136 SHELBY OAKS LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-5800
Mailing Address - Country:US
Mailing Address - Phone:337-234-2622
Mailing Address - Fax:337-896-6741
Practice Address - Street 1:208 E SAINT PETER ST
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520-4009
Practice Address - Country:US
Practice Address - Phone:337-896-3241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1218723Medicaid
LA1922012913OtherBUSINESS NPI