Individual
WILLIAM CARROLL COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
114 SERIO BLVD, FERRIDAY, LA 71334-2013
(318) 757-4114
(318) 757-4111
Mailing address
PO BOX 669, 114 SERIO BLVD., FERRIDAY, LA 71334-0669
(318) 757-4114
(318) 757-4111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10275
LA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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