Individual
RYAN JAMES BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4500 VETERANS MEMORIAL BLVD, T-1449, METAIRIE, LA 70006-5330
(504) 888-7536
Mailing address
4500 VETERANS MEMORIAL BLVD, T-1449, METAIRIE, LA 70006-5330
(504) 888-7536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019827
LA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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