NPI

Willow Mina

Doing business as Willow Bark Pharmacy. NPI 1235689977

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2016-10-05
Last updated
2024-10-17

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Specialties

Licenses

License LA
PHY.007400-IR

Location

Practice location
606 Highway 20
City
Thibodaux LA
Postal code
70301-6255
Phone
(985) 633-2275

Organization contact

Name
Minh Nguyen
Title
President
Phone
(985) 772-4088

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Thibodaux, LA. 1,511 records in the public file.

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