Organization
WHITE'S COMPOUNDING PHARMACY, LLC
Active
Other names
Boudreaux's Specialty Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG BOUDREAUX (OWNER)
(318) 631-2005
Entity
Organization
Contact information
Practice address
2551 GREENWOOD RD, SUITE 110, SHREVEPORT, LA 71103-3981
(318) 631-2005
(318) 631-1883
Mailing address
2551 GREENWOOD RD, SUITE 110, SHREVEPORT, LA 71103-3981
(318) 631-2005
(318) 631-1883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4242-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267171
—
LA
Enumeration date
12/22/2006
Last updated
01/28/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us