Individual
CONROY WHITELY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
Mailing address
19118 GASLAMP POINT CT, CYPRESS, TX 77429-5552
(561) 767-0353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020456
LA
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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