Individual provider · Type 1 NPI
Kenneth Gerard Boutte Jr., PharmD
Pharmacist · Picayune, MS
Practice location
416 Memorial Blvd
Picayune, MS 39466-5544
Mailing address
11211 I 10 Service Rd
New Orleans, LA 70128-2248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | T-010671 (MS) |
| Pharmacist | 183500000X | 48331 (TX) |
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…
3 other providers at this address
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About NPI 1265731848
Kenneth Gerard Boutte Jr., PharmD's National Provider Identifier is 1265731848, issued on Mar 22, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Picayune, MS. The record was last updated on Mar 22, 2011.