Healthcare Provider Details

I. General information

NPI: 1902932791
Provider Name (Legal Business Name): WILLIAM GLYNN DAY D.PH., R.PH., FASCP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 COUNTRYSIDE DR
BATON ROUGE LA
70810-5500
US

IV. Provider business mailing address

142 COUNTRYSIDE DR
BATON ROUGE LA
70810-5500
US

V. Phone/Fax

Practice location:
  • Phone: 225-324-8163
  • Fax: 220-208-1739
Mailing address:
  • Phone: 225-324-8163
  • Fax: 225-208-1739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number13315
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: