Organization
DUPRE OF GONZALES LLC
Active
Other names
Dupre Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS DUPRE (OWNER)
(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
(225) 257-1009
(225) 257-1017
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY006599IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135584
PK
—
05
—
2201875
—
LA
Enumeration date
07/02/2012
Last updated
07/08/2020
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