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Organization
MAGNOLIA BUSINESS CO, INC. DBA 'THRIFTY WAY PHARMACY'
Active
Organization
MAGNOLIA BUSINESS CO, INC. DBA 'THRIFTY WAY PHARMACY'
Active
Other names
THRIFTY WAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA VERMILLION MCCANN PHARMACIST (RPH) ((PIC) PHARMACY OWNER CORP-PRESIDENT)
(318) 792-6231
Entity
Organization
Contact information
Practice address
1019 FERTITTA BLVD, LEESVILLE, LA 71446
(337) 239-3474
(337) 238-2575
Mailing address
1019 FERTITTA BLVD, LEESVILLE, LA 71446
(337) 239-3474
(337) 238-2575
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
6291-IR
LA
3336C0003X
Community/Retail Pharmacy
662IR
LA
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1226050
—
LA
01
—
1917991
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2200402
—
LA
Enumeration date
08/18/2006
Last updated
09/01/2011
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