NPI 1063614881

John Dwayne Baque, RPH

Practitioner Pharmacist Opelousas, LA

Practice location

Address: 813 Guidry St, Opelousas, LA 70570-3521
Phone: (337) 258-3786

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 11850 (LA)

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Registry record

NPI: 1063614881
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.