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 |