Individual provider · Type 1 NPI

Kibry Wayne Bonvillain, RPH

Pharmacist · Houma, LA

NPI number 1508155508 Active

Practice location

600 Roussell St
Houma, LA 70360

Fax (985) 853-2091

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X14316 (LA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1508155508

Kibry Wayne Bonvillain, RPH's National Provider Identifier is 1508155508, issued on Mar 31, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Houma, LA. The record was last updated on Mar 31, 2011.