Individual
IVY NGAN BOI THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 S 5TH ST, LEESVILLE, LA 71446-5314
(337) 239-2285
Mailing address
2008 S 5TH ST, LEESVILLE, LA 71446-5314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
022728
LA
183500000X
Pharmacist
Primary
PST.022728
LA
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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