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1629384003
KENNETH W BOUDREAUX
PINEVILLE, LA
NPI
1629384003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 10753)
Enumeration Date
2010-08-24
Last Update Date
2010-08-26
Business Address
MR. KENNETH W BOUDREAUX R.PH.
3400 MILITARY HWY
PINEVILLE, LA 71360
Phone number: 318-640-8066
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Mailing Address
MR. KENNETH W BOUDREAUX R.PH.
38 HAMMACK LN
BALL, LA 71405-3261
Phone number: 318-640-4448
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