Organization
MANNINOS FAMILY PRACTICE PHARMACY INC
Active
Other names
Mannino's Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MANNINO (PHARMACIST-IN-CHARGE, OWNER)
(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
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1254771
—
LA
Enumeration date
06/23/2022
Last updated
06/23/2022
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