Individual
JAMES THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
115 W MCNEESE ST, LAKE CHARLES, LA 70605-5635
(337) 474-4131
Mailing address
115 W MCNEESE ST, LAKE CHARLES, LA 70605-5635
(337) 474-4131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19158
LA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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