Individual
MRS. ANDREA B THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
939 S LEWIS ST, NEW IBERIA, LA 70560-6303
(337) 364-1368
(866) 569-0767
Mailing address
939 S LEWIS ST, NEW IBERIA, LA 70560-6303
(337) 364-1368
(866) 569-0767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15980
LA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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