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Organization
WINDFALL REAL ESTATE CORP
Active
Organization
WINDFALL REAL ESTATE CORP
Active
Other names
JAGNEAUXS THRIFTY WAY
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA JAGNEAUX (OWNER)
(337) 585-2382
Entity
Organization
Contact information
Practice address
17695 HIGHWAY 190, PORT BARRE, LA 70577-5178
(337) 585-2382
(337) 585-2385
Mailing address
PO BOX 550, PORT BARRE, LA 70577-0550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY001123IR
LA
Other
Enumeration date
11/08/2006
Last updated
01/15/2016
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