LANCE BOURGEOIS

MARRERO, LA
NPI1194031617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  14834)
Enumeration Date2010-08-21
Last Update Date2010-08-21
Business Address
-- LANCE BOURGEOIS
4600 WESTBANK EXPY
MARRERO, LA 70072-3065
Phone number: 504-340-6337
Mailing Address
-- LANCE BOURGEOIS
4600 WESTBANK EXPY
MARRERO, LA 70072-3065
Phone number: 504-340-6337