| NPI | 1770648677 |
|---|---|
| Doing Business As | BOUDREAUX'S SPECIALTY COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | DOUG BOUDREAUX Owner 318-631-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 4242-IR) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2021-01-28 |