Provider Demographics
NPI:1588752091
Name:POTIER, FELIX E (RPH)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:E
Last Name:POTIER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 CRAFTSMAN RD
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-5240
Mailing Address - Country:US
Mailing Address - Phone:337-896-8527
Mailing Address - Fax:
Practice Address - Street 1:3803 MOSS ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-4589
Practice Address - Country:US
Practice Address - Phone:337-264-8015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist