JAKE A BOURQUE

EUNICE, LA
NPI1992104731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST.020714)
Enumeration Date2014-08-18
Last Update Date2015-11-19
Business Address
-- JAKE A BOURQUE Pharm.D.
621 W MAPLE AVE
EUNICE, LA 70535-5300
Phone number: 337-546-6386
Mailing Address
-- JAKE A BOURQUE Pharm.D.
621 W MAPLE AVE
EUNICE, LA 70535-5300
Phone number: 337-546-6386