Healthcare Provider Details

I. General information

NPI: 1134122211
Provider Name (Legal Business Name): CYNTHIA LEANN CAUSEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 BIENVILLE ST
NATCHITOCHES LA
71457-5702
US

IV. Provider business mailing address

407 BIENVILLE ST
NATCHITOCHES LA
71457-5702
US

V. Phone/Fax

Practice location:
  • Phone: 318-357-1303
  • Fax: 318-352-3166
Mailing address:
  • Phone: 318-357-1303
  • Fax: 318-352-3166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number17251
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: