Organization
THRIFTY WAY PHARMACY, NORTHSIDE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHRYN J MATTE P. D. (PRESIDENT)
(337) 234-5228
Entity
Organization
Contact information
Practice address
1419 MOSS ST, LAFAYETTE, LA 70501-3654
(337) 234-5228
(337) 234-7370
Mailing address
1419 MOSS ST, LAFAYETTE, LA 70501-3654
(337) 234-5228
(337) 234-7370
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4172-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266761
—
LA
Enumeration date
09/15/2006
Last updated
02/28/2008
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