Individual
MR. WILLIAM WALLACE HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5360 HIGHLAND RD, BATON ROUGE, LA 70808-6548
(225) 757-1023
Mailing address
2311 SHADOWBROOK DR, BATON ROUGE, LA 70816-2845
(225) 756-7090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010556
LA
183500000X
Pharmacist
015740
AZ
183500000X
Pharmacist
16229
AL
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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