# GREEN TREE PHARMACIES LLC

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

## Provider details

- **NPI number:** 1366518466
- **Authorized official:** JIMMY NEIL (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (985) 386-6550

## Contact information

- **Practice address:** 240 W PINE ST, PONCHATOULA, LA 70454-3311
- **Practice address phone:** (985) 386-8543
- **Practice address fax:** (985) 386-0786
- **Mailing address:** 240 W PINE ST, PONCHATOULA, LA 70454-3311
- **Mailing address phone:** (985) 386-8543
- **Mailing address fax:** (985) 386-0786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.006647-IR | LA | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 02/16/2017