Individual
MR. EARL GLEN WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
71041 HIGHWAY 21, COVINGTON, LA 70433-7120
(985) 875-0715
(985) 875-9728
Mailing address
19705 HIGHWAY 40, COVINGTON, LA 70435-9316
(985) 674-7504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17129
LA
Other
Enumeration date
03/05/2010
Last updated
11/17/2020
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