Individual
MS. CHERYL LARRIEU BOURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
LSU STUDENT HEALTH CENTER PHARMACY, INFIRMARY ROAD, LSU, BATON ROUGE, LA 70803
(225) 578-5651
(225) 578-7684
Mailing address
18235 BEL MEADOW AVE, BATON ROUGE, LA 70810-6033
(225) 752-5909
(225) 753-7886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11334
LA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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