Charles Bourgeois

NPI #1568778934 in Donaldsonville, Louisiana

Provider Information

NPI Number: 1568778934
Entity Type: Individual
Name: Charles Bourgeois
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 24, 2010
Last Updated: Aug 24, 2010

Practice Location

Address: 38000 HIGHWAY 3089
City: Donaldsonville
State: Louisiana
ZIP Code: 70346-8596
Phone: (225) 473-3918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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