Individual
MR. TYRONNE A VILLAVASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4110 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70131-8231
(504) 433-3297
(504) 433-4062
Mailing address
4110 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70131-8231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11363
LA
183500000X
Pharmacist
45085
TX
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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