Organization
THRIFTY WAY PHARMACY OF ABBEVILLE, INC.
Active
Parent organization
THRIFTY WAY PHARMACY OF ABBEVILLE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THRIFTY WAY PHARMACY OF ABBEVILLE, INC.
Authorized official
MASON J ROMERO (PRESIDENT)
(337) 893-6304
Entity
Organization
Contact information
Practice address
2640 NORTH DR, ABBEVILLE, LA 70510-4043
(337) 893-6304
(337) 893-6306
Mailing address
2640 NORTH DR, ABBEVILLE, LA 70510-4043
(337) 893-6304
(337) 893-6306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1415-IR
LA
332BC3200X
Customized Equipment (DME)
1415-IR
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1415-IR
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1415-IR
LA
333600000X
Pharmacy
1415-IR
LA
3336C0003X
Community/Retail Pharmacy
1415-IR
LA
3336H0001X
Home Infusion Therapy Pharmacy
1415-IR
LA
3336L0003X
Long Term Care Pharmacy
1415-IR
LA
3336M0002X
Mail Order Pharmacy
1415-IR
LA
3336S0011X
Specialty Pharmacy
1415-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
CHAMPUS/TRICARE
LA
05
—
1217654
—
LA
01
—
7212435002
TRICARE HIT
—
Enumeration date
07/20/2006
Last updated
07/08/2008
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