Jennifer S Boudreaux, RPH Valid NPI
Individual provider · Pharmacist · Shreveport, LA
- NPI
- 1700431244
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 15716 (LA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-08-01
- Last updated
- 2019-08-01
Practice location
1410 Kings Hwy
Shreveport, LA 71103-4227
(318) 585-0420