Organization
MARCH WILLOWS
Active
Other names
WILLOW BARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MINH NGUYEN (PRESIDENT)
(985) 876-5502
Entity
Organization
Contact information
Practice address
2138 BAYOU BLUE RD, HOUMA, LA 70364-3909
(985) 876-5502
(985) 223-9301
Mailing address
2138 BAYOU BLUE RD, HOUMA, LA 70364-3909
(985) 876-5502
(985) 223-9301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006362-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128728
PK
—
05
—
2200615
—
LA
Enumeration date
01/04/2011
Last updated
10/17/2024
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