Provider Demographics
NPI:1912738188
Name:DUCOTE, HELEN V (RPH)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:V
Last Name:DUCOTE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9621 NORRIS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-7719
Mailing Address - Country:US
Mailing Address - Phone:318-464-1833
Mailing Address - Fax:318-872-5816
Practice Address - Street 1:132 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:LA
Practice Address - Zip Code:71052-2602
Practice Address - Country:US
Practice Address - Phone:318-872-1933
Practice Address - Fax:318-872-5816
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.016330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist