Individual
MR. WILLIAM THOMAS IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
7968 ESSEN PARK, BATON ROUGE, LA 70809-7439
(800) 935-8387
Mailing address
40242 PELICAN POINT PKWY, GONZALES, LA 70737-8511
(800) 935-8387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33917
TX
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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