Individual
WESLEY N HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
215 W WILLOW ST, LAFAYETTE, LA 70501-2841
(337) 572-9053
Mailing address
905 GREENBRIAR RD, LAFAYETTE, LA 70503-3526
(337) 993-0081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015349
LA
Other
Enumeration date
10/14/2012
Last updated
10/14/2012
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