Individual
DEREK DAIGLE DUFRENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4572 HIGHWAY 1, RACELAND, LA 70394-2772
(985) 537-3296
Mailing address
159 GABRIEL ST, HOUMA, LA 70364-3823
(985) 860-4992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024403
LA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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