Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vidrine Pharmaceutical Group, LLC

Organization Compounding Pharmacy · NPI 1043838469

Vidrine Pharmaceutical Group, LLC is a Compounding Pharmacy in Lake Charles, Louisiana. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

404 E Prien Lake Rd
Lake Charles, LA 70601-8507
Phone: (337) 436-7216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X

Record details

NPI number1043838469
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVidrine Pharmaceutical Group, LLC
Authorized official Jesse Vidrine — Owner · (337) 436-7216
Other names Boudreaux'S New Drug Store
NPI enumeratedJuly 13, 2020
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020
Mailing address404 E Prien Lake Rd, Lake Charles, LA 70601-8507

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