Individual
MR. LEONARD J. BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2021 W. AIRLINE HYW, LAPLACE, LA 70068
(985) 652-0174
(985) 652-0637
Mailing address
2021 W. AIRLINE HYW., LAPLACE, LA 70068
(985) 652-0174
(985) 652-0637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10446
LA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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