Organization
FAMILY PHARMACY LLC
Active
Other names
Bernards Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TINNERELLO (OWNER/MANAGER)
(985) 320-5175
Entity
Organization
Contact information
Practice address
34876 LA HIGHWAY 1019, DENHAM SPRINGS, LA 70706-0659
(225) 667-4286
(225) 664-1682
Mailing address
1812 W THOMAS ST, HAMMOND, LA 70401-2945
(985) 345-4767
(985) 345-4768
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006946-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149065
PK
—
05
—
2203177
—
LA
Enumeration date
07/16/2014
Last updated
03/30/2017
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