Healthcare Provider Details

I. General information

NPI: 1639176548
Provider Name (Legal Business Name): WILLIAM BRUCE FRENCH PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E FRANKLIN ST
FARMERVILLE LA
71241-2909
US

IV. Provider business mailing address

201 E FRANKLIN ST
FARMERVILLE LA
71241-2909
US

V. Phone/Fax

Practice location:
  • Phone: 318-368-8340
  • Fax: 318-368-7851
Mailing address:
  • Phone: 318-368-8340
  • Fax: 318-368-7851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10464
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: