Healthcare Provider Details

I. General information

NPI: 1932404951
Provider Name (Legal Business Name): ARIE R SPITZFADEN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2011
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6972 EGRET LNDG
MONROE LA
71203-6018
US

IV. Provider business mailing address

6972 EGRET LNDG
MONROE LA
71203-6018
US

V. Phone/Fax

Practice location:
  • Phone: 318-880-4940
  • Fax:
Mailing address:
  • Phone: 318-880-4940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number15492
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: