NPI 1053712760

Sidney Champagne, RPH

Practitioner Pharmacist New Iberia, LA

Practice location

Address: 106 Candleglow Dr, New Iberia, LA 70563-0912
Phone: (337) 560-1096
Mailing address: 900 E Admiral Doyle Dr, New Iberia, LA 70560-6709

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 11566 (LA)

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Registry record

NPI: 1053712760
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2014
Record last updated: 12 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.