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Willow Mina
Community/Retail Pharmacy in Thibodaux, Louisiana
NPI 1235689977

Willow Mina is a Community/Retail Pharmacy based in Thibodaux, LA and is specialized in Community/Retail Pharmacy. Willow Mina practices in Thibodaux, LA. The NPI Number for Willow Mina is 1235689977 and holds a License No. (Louisiana).

The current practice location address for Willow Mina is 606 Highway 20, Thibodaux, LA and can be reached out via phone at 985-633-2275 and via fax at 985-633-4703.

Location: 606 Highway 20, Thibodaux, LA, 70301-6255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235689977
Provider Name
Willow Mina
Credential
Provider Entity Type
Organization
Address
606 Highway 20, Thibodaux, LA, 70301-6255
Phone Number
985-633-2275
Fax Number
985-633-4703
Provider Enumeration Date
10/05/2016
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2166319 01 PK
2204882 05 LA
institution
Provider Business Practice Location Address Details
Address
606 Highway 20
City
Thibodaux
State
Louisiana
Zip
70301-6255
Phone Number
985-633-2275
Fax Number
985-633-4703
person
Provider Business Mailing Address Details
Address
606 Highway 20
City
Thibodaux
State
Louisiana
Zip
70301-6255
Phone Number
985-633-2275
Fax Number
985-633-4703
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY.007400-IR (Louisiana)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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