Provider Demographics
NPI:1447534961
Name:CROUCH, BOBBI JOAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BOBBI
Middle Name:JOAN
Last Name:CROUCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10527 HILLROSE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7764
Mailing Address - Country:US
Mailing Address - Phone:225-235-1886
Mailing Address - Fax:
Practice Address - Street 1:7777 BLUEBONNET BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1632
Practice Address - Country:US
Practice Address - Phone:225-766-9091
Practice Address - Fax:225-766-9317
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0179491835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist