# MANNINOS FAMILY PRACTICE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mannino's Family Practice Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891700431
- **Authorized official:** RICHARD MANNINO RPH (OWNER PRESIDENT)
- **Authorized official phone:** (985) 542-8466

## Contact information

- **Practice address:** 113 W CHARLES ST, HAMMOND, LA 70401-3232
- **Practice address phone:** (985) 542-8466
- **Practice address fax:** (985) 542-2561
- **Mailing address:** PO BOX 1442, HAMMOND, LA 70404-1442
- **Mailing address phone:** (985) 542-8466
- **Mailing address fax:** (985) 542-2561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.001825IR | LA | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 09/30/2016
