Individual
MR. COURTNEY MICHAEL VILLAVASSO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6800 GREENWELL SPRINGS RD, BATON ROUGE, LA 70805-7436
(225) 216-9442
Mailing address
4640 SAN MARCO RD, NEW ORLEANS, LA 70129-2635
(281) 725-4985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14546
LA
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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