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Organization
MANNINOS FAMILY PRACTICE PHARMACY INC
Active
Organization
MANNINOS FAMILY PRACTICE PHARMACY INC
Active
Other names
Mannino's Family Practice Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MANNINO RPH (OWNER PRESIDENT)
(985) 542-8466
Entity
Organization
Contact information
Practice address
113 W CHARLES ST, HAMMOND, LA 70401-3232
(985) 542-8466
(985) 542-2561
Mailing address
PO BOX 1442, HAMMOND, LA 70404-1442
(985) 542-8466
(985) 542-2561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.001825IR
LA
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1254771
—
LA
01
—
2031172
PK
—
Enumeration date
07/30/2006
Last updated
09/30/2016
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