DWIGHT PAUL THIBODEAUX

BATON ROUGE, LA
NPI1194129775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.016695)
Enumeration Date2014-10-10
Last Update Date2014-10-10
Business Address
DWIGHT PAUL THIBODEAUX RPH
5551 CORPORATE BLVD SUITE 102
BATON ROUGE, LA 70808-2567
Phone number: 225-924-1930
Mailing Address
DWIGHT PAUL THIBODEAUX RPH
36189 NORFOLK AVE
DENHAM SPRINGS, LA 70706-8587
Phone number: 225-924-1930