Provider Demographics
NPI:1487940664
Name:BROOKS, CLAUDIA (RPH)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3203
Mailing Address - Country:US
Mailing Address - Phone:225-924-6094
Mailing Address - Fax:225-924-4069
Practice Address - Street 1:2950 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-3203
Practice Address - Country:US
Practice Address - Phone:225-924-6094
Practice Address - Fax:225-924-4069
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-25
Last Update Date:2011-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.017178183500000X
TX38705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist