Individual
MR. ALFRED L BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
21430 HIGHWAY 20, VACHERIE, LA 70090-3614
(225) 265-2191
(985) 448-0917
Mailing address
309 LEVERT DR, THIBODAUX, LA 70301-3855
(985) 449-1391
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14902
LA
Other
Enumeration date
09/15/2011
Last updated
02/26/2022
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