Organization
DUPRE AND DUPRE LLC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (3RD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
822 N BURNSIDE AVE, GONZALES, LA 70737-2836
(225) 644-1661
(225) 644-7461
Mailing address
822 N BURNSIDE AVE, GONZALES, LA 70737-2836
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
4230
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267082
—
LA
01
—
1928677
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
09/11/2025
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