Mikey Philayvanh

NPI #1245003995 in Youngsville, Louisiana

Provider Information

NPI Number
1245003995
Entity Type
Individual
Name
Mikey Philayvanh
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Nov 3, 2023
Last Updated
Nov 3, 2023

Practice Location

Address
1500 BONIN RD
ZIP Code
70592-5102
Phone
(337) 573-6177

Specialties & Taxonomy Codes

Specialty
Pharmacist

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