Individual
JENNIFER BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
308 N AIRLINE HWY, GONZALES, LA 70737-3009
(225) 647-1180
Mailing address
308 N AIRLINE HWY, GONZALES, LA 70737-3009
(225) 647-1180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15069
LA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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