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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DWAYNE PAUL BOURGEOIS

Active Sole Proprietor

DWAYNE PAUL BOURGEOIS is a Pharmacist healthcare provider located in BATON ROUGE, Louisiana. NPI 1578854410 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BATON ROUGE, LA

Registration Details

NPI Number
1578854410
Provider Type
Individual
Gender
Male
NPI Issued
Apr 26, 2011 (15.294012192742 yrs)
Last Updated
Apr 26, 2011
License
15407 (LA)
Sole Proprietor
Yes

Practice Information

Address
2159 STARING LN
BATON ROUGE, LA, 708101038
Browse LA providers · Browse ZIP 70810
Phone
2257661107
Fax
2258198168
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BATON ROUGE, LA

Name Credential NPI
DR. MARK ROBERT SCHEXNAYDER PHARM.D. 1285631168
MR. MALCOLM J BROUSSARD 1346241007
MR. MICHAEL RUSSELL DORMAN PHARMACIST 1780686121
DR. LESLIE JORDAN DIXON PHARM.D. 1144291378
SIMONE GINN RPH, CDE 1760450803
KEVIN J JUDICE RPH, CDM 1619990207
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.