Individual
JOHN DWAYNE BAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
813 GUIDRY ST, OPELOUSAS, LA 70570-3521
(337) 258-3786
Mailing address
813 GUIDRY ST, OPELOUSAS, LA 70570-3521
(337) 258-3786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11850
LA
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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