Willow Mina Valid NPI
Organization · Community/Retail Pharmacy · Thibodaux, LA
- NPI
- 1235689977
- Type
- Organization (Type 2)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- PHY.007400-IR (LA)
- Enumerated
- 2016-10-05
- Last updated
- 2024-10-17
Practice location
606 Highway 20
Thibodaux, LA 70301-6255
(985) 633-2275