Individual
KENNETH W DOUCET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4097 RYAN ST, LAKE CHARLES, LA 70605-2819
(337) 474-0434
Mailing address
2840 HENDERSON FOREST DR, LAKE CHARLES, LA 70605-2259
(337) 477-7560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11099
LA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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