| NPI | 1043838469 |
|---|---|
| Doing Business As | BOUDREAUX'S NEW DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | JESSE VIDRINE Owner 337-436-7216 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-17 |