Individual
MR. ROBERT DEAN GAUTHREAUX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
70550 HIGHWAY 21, COVINGTON, LA 70433-8100
(985) 893-7681
Mailing address
15569 E HOFFMAN RD LOT 51, PONCHATOULA, LA 70454-9407
(985) 402-6900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024230
LA
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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