Individual
CHARLES BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38000 HIGHWAY 3089, DONALDSONVILLE, LA 70346-8596
(225) 473-3918
Mailing address
38000 HWY 3089, DONALDSONVILLE, LA 70346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10265
LA
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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