# GREENSBURG FAMILY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greensburg Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174863344
- **Authorized official:** MICHAEL TINNERELLO (MANAGER/OWNER)
- **Authorized official phone:** (985) 320-5175

## Contact information

- **Practice address:** 6166 HWY 10, GREENSBURG, LA 70441
- **Practice address phone:** (225) 222-4279
- **Practice address fax:** (225) 222-4043
- **Mailing address:** 1812 W THOMAS ST, HAMMOND, LA 70401-2945
- **Mailing address phone:** (985) 345-4767
- **Mailing address fax:** (985) 345-4768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.006667-IR | LA | Yes |

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 07/22/2020