Reginald Boutte
Reginald Boutte is a Pharmacist in New Iberia, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2019
Practice location Address checks out
806 Jefferson TerNew Iberia, LA 70560-5727
Phone: (337) 376-6868
Fax: (337) 376-6866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence PST.016411 (LA) |
|---|
Record details
| NPI number | 1114588373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 27, 2019 |
| Last updated in NPPES | June 27, 2019 |
| Mailing address | 806 Jefferson Ter, New Iberia, LA 70560-5727 |
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