Individual
DR. DEVONTE WILLIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2000 HIGHWAY 14, LAKE CHARLES, LA 70601-8060
(337) 439-7114
Mailing address
2845 COUNTRY CLUB RD, APT 1210, LAKE CHARLES, LA 70605-5996
(404) 357-8588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020329
LA
Other
Enumeration date
09/14/2013
Last updated
09/14/2013
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