Most Relevant Information
Provider Data
| NPI Number: | 1003180365 |
| Provider Name: | TAMI LEIGH WILLINGHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 15302 |
Most Important Dates
| Enumeration Date: | 03/05/2012 |
| Last Updated: | 03/05/2012 |
Provider Practice Location
185 N LEWIS ST
NEW IBERIA
LA
705633925
Practice Location Phone/Fax
| Phone: | 3373652323 |
| Fax: |
Provider Mailing Location
103 CRANBERRY DR
BROUSSARD
LA
705189101
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |