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Individual

DR. ROBERT BOUGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
12881 PERKINS RD, BATON ROUGE, LA 70810-1913
(225) 763-6281
Mailing address
1020 DEER HOLLOW DR, WOODSTOCK, GA 30189-6604
(337) 370-9035

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHI16135
GA

Other

Enumeration date
04/18/2016
Last updated
04/18/2016
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