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Andrea K Bourque, PharmD

Pharmacist in Rayne, LA. Individual provider (NPI-1).

NPI number1083496178
StatusActive
Last updated in NPPESJul 8, 2024

Details

NPI
1083496178
Entity type
Individual (NPI-1)
Name
Andrea K Bourque
Credential
PharmD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 16, 2023
Certification date
Jul 8, 2024
Last updated
Jul 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPST.019587LAYes

Practice location

913 The Blvd
Rayne, LA 70578-6134

Phone 337-334-3399 · Fax 337-334-3339

Mailing address

414 Gordon Crocket Dr
Lafayette, LA 70508-5161

Phone 337-230-2102 · Fax 337-334-3339

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