# THRIFT CLINIC PHARMACY ON UNION, LLC

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

## Provider details

- **NPI number:** 1366739369
- **Authorized official:** MR. TERRY MENGARELLI PD (PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (337) 948-4441

## Contact information

- **Practice address:** 825 N UNION ST, OPELOUSAS, LA 70570-6313
- **Practice address phone:** (337) 948-4441
- **Practice address fax:** (337) 948-4442
- **Mailing address:** 825 N UNION ST, OPELOUSAS, LA 70570-6313
- **Mailing address phone:** (337) 948-4441
- **Mailing address fax:** (337) 948-4442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 6398 | LA | — |
| 3336C0003X | Community/Retail Pharmacy | 6398 | LA | Yes |

## Other

- **Enumeration date:** 06/29/2011
- **Last updated:** 06/29/2011