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Individual

MR. WILLIAM WALTER EVANS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2517 KALISTE SALOOM RD, LAFAYETTE, LA 70508-6811
(337) 216-9187
(337) 216-9387
Mailing address
2517 KALISTE SALOOM RD, LAFAYETTE, LA 70508-6811
(337) 216-9187
(337) 216-9387

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13195
LA

Other

Enumeration date
08/16/2010
Last updated
08/16/2010
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