Provider Demographics
NPI:1528860194
Name:DUHE, MALCOLM (PHARMD)
Entity type:Individual
Prefix:
First Name:MALCOLM
Middle Name:
Last Name:DUHE
Suffix:
Gender:X
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 JEFFERSON ST UNIT 117
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-6937
Mailing Address - Country:US
Mailing Address - Phone:337-335-7546
Mailing Address - Fax:
Practice Address - Street 1:729 ODD FELLOWS RD
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-2216
Practice Address - Country:US
Practice Address - Phone:337-783-6387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist