Provider Demographics
NPI:1427428655
Name:DJAPNI, RICHARD THIBAUT (PHARMD)
Entity type:Individual
Prefix:
First Name:RICHARD THIBAUT
Middle Name:
Last Name:DJAPNI
Suffix:
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 1:206 MEDALIST RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203
Mailing Address - Country:US
Mailing Address - Phone:337-255-4238
Mailing Address - Fax:
Practice Address - Street 1:513 ULSTER ST
Practice Address - Street 2:
Practice Address - City:BOYCE
Practice Address - State:LA
Practice Address - Zip Code:71409
Practice Address - Country:US
Practice Address - Phone:318-793-2400
Practice Address - Fax:318-793-2100
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA021290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist