# PETES FAMILY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245822436
- **Authorized official:** DANA ANTOON (OWNER/MANAGER)
- **Authorized official phone:** (985) 514-3173

## Contact information

- **Practice address:** 539 W RAILROAD AVE, INDEPENDENCE, LA 70443
- **Practice address phone:** (985) 878-6321
- **Practice address fax:** (985) 878-4613
- **Mailing address:** 1812 W THOMAS ST, HAMMOND, LA 70401-2945

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 05/26/2021