Reginald Boutte
NPI #1114588373 in New Iberia, Louisiana
Provider Information
- NPI Number
- 1114588373
- Entity Type
- Individual
- Name
- Reginald Boutte
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 27, 2019
- Last Updated
- Jun 27, 2019
Practice Location
- Address
- 806 JEFFERSON TER
- City
- New Iberia
- State
- Louisiana
- ZIP Code
- 70560-5727
- Phone
- (337) 376-6868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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