# PETES FAMILY PHARMACY LLC

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

## Provider details

- **NPI number:** 1285724336
- **Authorized official:** MICHAEL TINNERELLO RPH (OWNER)
- **Authorized official phone:** (985) 320-5175

## 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
- **Mailing address phone:** (985) 878-6321
- **Mailing address fax:** (985) 878-4613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.006092-IR | LA | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 05/01/2017