# MAGNOLIA BUSINESS CO, INC. DBA 'THRIFTY WAY PHARMACY'

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

## Provider details

- **NPI number:** 1144334129
- **Authorized official:** MRS. DEBRA VERMILLION MCCANN PHARMACIST (RPH) ((PIC) PHARMACY OWNER CORP-PRESIDENT)
- **Authorized official phone:** (318) 792-6231

## Contact information

- **Practice address:** 1019 FERTITTA BLVD, LEESVILLE, LA 71446
- **Practice address phone:** (337) 239-3474
- **Practice address fax:** (337) 238-2575
- **Mailing address:** 1019 FERTITTA BLVD, LEESVILLE, LA 71446
- **Mailing address phone:** (337) 239-3474
- **Mailing address fax:** (337) 238-2575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 6291-IR | LA | Yes |
| 3336C0003X | Community/Retail Pharmacy | 662IR | LA | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 09/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1226050 | — | LA |
| 01 | — | 1917991 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 2200402 | — | LA |