Individual
MR. THOMAS JAMES BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4752 HIGHWAY 311, SUITE 100, HOUMA, LA 70360-2810
(985) 879-2440
(985) 879-2967
Mailing address
4752 HIGHWAY 311, SUITE 100, HOUMA, LA 70360-2810
(985) 879-2440
(985) 879-2967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011961
LA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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