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
- City
- Youngsville
- State
- Louisiana
- ZIP Code
- 70592-5102
- Phone
- (337) 573-6177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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