Reginald Boutte

NPI 1114588373 · on the registry since 2019 · sole proprietor

Practice

Address: 806 Jefferson Ter
New Iberia, LA 70560
Phone: (337) 376-6868
Fax: (337) 376-6866
Organisation at this address: Iberia Comprehensive Chc Pharmacy
Iberia Comprehensive Community Health Center,Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana