Paul Randall Stutes, RPH
Individual provider Active NPI Pharmacist · Erath, LA
NPI 1023188992 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023188992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15246 (LA)
- Practice address
- 112 E Edward St
Erath, LA 70533-4108 - Phone
- (337) 937-8333
- Fax
- (337) 937-8376
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15246 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cashway Pharmacy of Erath L.L.C. | Pharmacist | Current | Accepting new patients |
Locations
112 E Edward St
Erath, LA 70533
Phone (337) 937-8333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15246 | LA | Yes |
Addresses
Primary practice location
112 E Edward St
Erath, LA 70533-4108
Mailing address
2107 Christopher Dr
Abbeville, LA 70510-8147
Phone (337) 893-5693
Other providers in Erath, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.