Individual
MR. DONALD WAYNE WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
285 W PINE ST, PONCHATOULA, LA 70454-3310
(985) 386-6132
Mailing address
13068 E COLES CREEK LOOP, HAMMOND, LA 70403-2189
(225) 294-2481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18505
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18505
PHARMACY LISCENCE
LA
Enumeration date
09/21/2011
Last updated
09/21/2011
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