# FAMILY PHARMACY LLC

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

## Provider details

- **NPI number:** 1205243730
- **Authorized official:** MICHAEL TINNERELLO (OWNER/MANAGER)
- **Authorized official phone:** (985) 320-5175

## Contact information

- **Practice address:** 34876 LA HIGHWAY 1019, DENHAM SPRINGS, LA 70706-0659
- **Practice address phone:** (225) 667-4286
- **Practice address fax:** (225) 664-1682
- **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.006946-IR | LA | Yes |

## Other

- **Enumeration date:** 07/16/2014
- **Last updated:** 03/30/2017
