Organization
THRIFTY WAY OF LAKE CHARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY KENT LANINGHAM (PRESIDENT)
(337) 433-1429
Entity
Organization
Contact information
Practice address
1001 3RD AVE, LAKE CHARLES, LA 70601-4640
(337) 433-1429
(337) 433-9971
Mailing address
1001 3RD AVE, LAKE CHARLES, LA 70601-4640
(337) 433-1429
(337) 433-9971
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6031IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234567
—
LA
Enumeration date
01/14/2009
Last updated
01/14/2009
Update your record
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