Individual
MR. DONNY LUKE BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
29881 WALKER SOUTH ROAD, WALKER, LA 70785
(225) 665-4580
Mailing address
18626 SEAGULL LN, PRAIRIEVILLE, LA 70769-5281
(225) 505-1588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16693
LA
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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