Individual
WAYNE MICHAEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 W 134TH PL, CUT OFF, LA 70345-4128
(985) 325-9750
Mailing address
308 RIVERWOOD DR, HOUMA, LA 70360-7988
(985) 381-8918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015316
LA
333600000X
Pharmacy
0015316
LA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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