Individual
ANDREA K BOURQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
913 THE BLVD, RAYNE, LA 70578-6134
(337) 334-3399
(337) 334-3339
Mailing address
414 GORDON CROCKET DR, LAFAYETTE, LA 70508-5161
(337) 230-2102
(337) 334-3339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.019587
LA
Other
Enumeration date
10/16/2023
Last updated
07/08/2024
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