Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH GERARD BOUTTE JR., PHARMD
Active Sole ProprietorDR. KENNETH GERARD BOUTTE JR., PHARMD is a Pharmacist healthcare provider located in PICAYUNE, Mississippi. NPI 1265731848 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PICAYUNE, MS
Registration Details
- NPI Number
- 1265731848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2011 (15.389407625918 yrs)
- Last Updated
- Mar 22, 2011
- Licenses
-
T-010671 (MS)48331 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
416 MEMORIAL BLVDPICAYUNE, MS, 394665544Browse MS providers · Browse ZIP 39466
- Phone
- 6017980330
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in PICAYUNE, MS
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT J SUHOR | — | 1336249226 |
| TIMOTHY JAMES CUEVAS | — | 1689774622 |
| MRS. PATRICIA M OLIVE | R.PH. | 1811068919 |
| MR. PIERRE MADERE | — | 1346374659 |
| ANDREW L. FAILLA | R.PH | 1093933798 |
| THUY AN DINH | — | 1396050506 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.