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NPI Code Detail

MEDICARE: WILLIAM C. HONEYCUTT RPH

MEDICARE: WILLIAM C. HONEYCUTT RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist10643LA

General Provider Information

NPI Number : 1760483069
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM C. HONEYCUTT RPH
Provider Business Mailing Address
First Line : 313 WILDERNESS DR
Second Line :
City : BOYCE
State : LA
Zip : 71409-8683
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2351 VANDENBURG DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-5609
Country : US
Telephone Number : 318-483-7336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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