# THRIFTY WAY PHARMACY OF DERIDDER INC NO 2

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THRIFTY WAY PHARMACY \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003827510
- **Authorized official:** MIKE ROY (VP)
- **Authorized official phone:** (800) 430-3784

## Contact information

- **Practice address:** 601 S PINE ST, DERIDDER, LA 70634-4941
- **Practice address phone:** (337) 463-7442
- **Practice address fax:** (337) 462-0362
- **Mailing address:** 601 S PINE ST, DERIDDER, LA 70634-4941
- **Mailing address phone:** (337) 463-7442
- **Mailing address fax:** (337) 462-0362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY001316IR | LA | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 04/17/2017