MR. William Thomas Ivey, PHARMACIST

NPI #1043315716 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1043315716
Entity Type: Individual
Name: MR. William Thomas Ivey, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Sep 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7968 ESSEN PARK
City: Baton Rouge
State: Louisiana
ZIP Code: 70809-7439
Phone: (800) 935-8387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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