Individual provider · Type 1 NPI

Dwight Paul Thibodeaux, RPH

Pharmacist · Baton Rouge, LA

NPI number 1194129775 Active

Practice location

5551 Corporate Blvd, Suite 102
Baton Rouge, LA 70808-2567

Fax (225) 924-2620

Mailing address

36189 Norfolk Ave
Denham Springs, LA 70706-8587

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPST.016695 (LA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194129775

Dwight Paul Thibodeaux, RPH's National Provider Identifier is 1194129775, issued on Oct 10, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 10, 2014.