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Individual

WILLIAM IVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
110 W FIRST ST, SUITE B, DUSON, LA 70529-6100
(337) 935-6439
(337) 662-5556
Mailing address
1085 WEEPING WILLOW DR, BREAUX BRIDGE, LA 70517-6283
(337) 344-9575

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13643
LA

Other

Enumeration date
05/16/2007
Last updated
08/07/2018
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