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NPI Code Detail

MEDICARE: COURTNEY PITRE ENTERPRISES, LLC

MEDICARE: COURTNEY PITRE ENTERPRISES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649033648
Entity Type Code : Organization
Provider Name (Legal Business Name) : COURTNEY PITRE ENTERPRISES, LLC
Provider Business Mailing Address
First Line : PO BOX 280
Second Line :
City : ARNAUDVILLE
State : LA
Zip : 70512-0280
Country : US
Telephone Number : 337-754-7481
Fax Number :
Provider Business Practice Location Address
First Line : 412 OLIVE ST
Second Line :
City : ARNAUDVILLE
State : LA
Zip : 70512-6154
Country : US
Telephone Number : 337-754-7481
Fax Number : 337-886-5762
Authorized Official
Title or Position : PIC
Name : COURTNEY DUGAS
Credential : PHARMD
Telephone Number : 337-754-7481
Provider Enumeration Date : 02/01/2024
Last Update Date : 05/01/2025

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Directions to “COURTNEY PITRE ENTERPRISES, LLC ” Practice Location

Language Start Address Practice Location
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