# THRIFTY WAY PHARMACY OF MAMOU LLC

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

## Provider details

- **NPI number:** 1679775779
- **Authorized official:** MR. AMIT JAIN (CEO)
- **Authorized official phone:** (337) 468-7111

## Contact information

- **Practice address:** 704 POINCIANA AVE, MAMOU, LA 70554-2224
- **Practice address phone:** (337) 468-7111
- **Practice address fax:** (337) 468-2111
- **Mailing address:** 704 POINCIANA AVE, MAMOU, LA 70554-2224
- **Mailing address phone:** (337) 468-7111
- **Mailing address fax:** (337) 468-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY005901IR | LA | Yes |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 12/13/2017