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Organization
GREEN TREE PHARMACIES LLC
Active
Organization
GREEN TREE PHARMACIES LLC
Active
Other names
MEDITHRIFT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY NEIL (AUTHORIZED OFFICIAL)
(985) 386-6550
Entity
Organization
Contact information
Practice address
240 W PINE ST, PONCHATOULA, LA 70454-3311
(985) 386-8543
(985) 386-0786
Mailing address
240 W PINE ST, PONCHATOULA, LA 70454-3311
(985) 386-8543
(985) 386-0786
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006647-IR
LA
Other
Enumeration date
11/28/2006
Last updated
02/16/2017
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