Organization
THRIFT-TOWN HEALTHMART, LLC
Active
Other names
Thrift-Town HealthMart Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
EVANS RAY GLASGOW JR. RPH (OWNER/PHARMACIST)
(985) 748-8191
Entity
Organization
Contact information
Practice address
512 N 2ND ST, AMITE, LA 70422-2123
(985) 748-8191
(985) 748-5766
Mailing address
PO BOX 918, AMITE, LA 70422-0918
(985) 748-8191
(985) 748-5766
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
6164
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235245
—
LA
01
—
2175570
PK
—
Enumeration date
01/22/2018
Last updated
08/22/2022
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