KIBRY WAYNE BONVILLAIN

HOUMA, LA
NPI1508155508
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  14316)
Enumeration Date2011-03-31
Last Update Date2011-03-31
Business Address
-- KIBRY WAYNE BONVILLAIN rph
600 ROUSSELL ST
HOUMA, LA 70360
Phone number: 985-381-4899
Mailing Address
-- KIBRY WAYNE BONVILLAIN rph
600 ROUSSELL ST
HOUMA, LA 70360-4556
Phone number: 985-381-4899