Individual
TIMOTHY DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4572 HIGHWAY 1, RACELAND, LA 70394-2772
(985) 537-3296
(985) 537-3288
Mailing address
4572 HIGHWAY 1, RACELAND, LA 70394-2772
(985) 537-3296
(985) 537-3288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011405
LA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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