Organization
DUPRE OF GONZALES LLC
Active
Parent organization
DUPRE OF GONZALES LLC
Other names
Dupre Pharmacy LTC, Dupre Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUPRE OF GONZALES LLC
Authorized official
BERT MATTHEW BLANCHARD RPH (PIC)
(225) 257-1009
Entity
Organization
Contact information
Practice address
6473 HIGHWAY 44 STE 101, GONZALES, LA 70737-8179
(225) 257-1009
(225) 257-1017
Mailing address
6473 HIGHWAY 44 STE 101, GONZALES, LA 70737-8179
(252) 571-0092
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/22/2023
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