Organization
DRIVE-IN DRUG STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD ANTHONY GIARDINA (OWNER-PHARMACIST)
(985) 748-8307
Entity
Organization
Contact information
Practice address
228 S 1ST ST, AMITE, LA 70422-2704
(985) 748-8307
(985) 748-3089
Mailing address
228 S 1ST ST, AMITE, LA 70422-2704
(985) 748-8307
(985) 748-3089
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1260649
—
LA
Enumeration date
02/27/2007
Last updated
09/14/2012
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