Mikey Philayvanh
Pharmacist in Youngsville, LA. Individual provider (NPI-1).
NPI number1245003995
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1245003995
- Entity type
- Individual (NPI-1)
- Name
- Mikey Philayvanh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2023
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 025070 | LA | Yes |
Practice location
1500 Bonin RdYoungsville, LA 70592-5102
Phone 337-573-6177
Mailing address
1368 Leed Champagne RdSaint Martinville, LA 70582-6627
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All 26 Pharmacist providers in Youngsville · All 552 providers in Youngsville
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