Provider Demographics
NPI:1215237557
Name:ARMSTRONG, MONICA MAYFIELD (MONICA MARKEY)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MAYFIELD
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MONICA MARKEY
Other - Prefix:MRS
Other - First Name:MONICA
Other - Middle Name:MAYFIELD
Other - Last Name:MARKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:10200 FLORIDA BLVD WALGREENS 11762
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:LA
Mailing Address - Zip Code:70785
Mailing Address - Country:US
Mailing Address - Phone:225-664-5181
Mailing Address - Fax:225-664-5859
Practice Address - Street 1:3081 S. RANGE AVE WALGREENS 13080
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726
Practice Address - Country:US
Practice Address - Phone:225-664-8094
Practice Address - Fax:225-664-8496
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17317183500000X
MST-010112183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2350633Medicaid