Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willow Mina

Organization Pharmacy · NPI 1235689977

Willow Mina is a Pharmacy in Thibodaux, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.

Licensed in
LA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

606 Highway 20
Thibodaux, LA 70301-6255
Phone: (985) 633-2275
Fax: (985) 633-4703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY.007400-IR (LA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1235689977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minh Nguyen — President · (985) 772-4088
Other names Willow Bark Pharmacy
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address606 Highway 20, Thibodaux, LA 70301-6255

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