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

Dwayne Paul Bourgeois

Individual provider Pharmacist · NPI 1578854410

Dwayne Paul Bourgeois is a Pharmacist in Baton Rouge, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2011

Practice location Address checks out

2159 Staring Ln
Baton Rouge, LA 70810-1038
Phone: (225) 766-1107
Fax: (225) 819-8168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 15407 (LA)

Record details

NPI number1578854410
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2011
Last updated in NPPESApril 26, 2011

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