Organization
FTW LAKE CHARLES LLC
Active
Other names
Thrifty Way Pharmacy of Lake Charles
Organization subpart
No
Provider details
NPI number
Authorized official
GLYNDA FUSELIER PHARMD (MANAGING MEMBER)
(318) 715-0015
Entity
Organization
Contact information
Practice address
1505 W MCNEESE ST, LAKE CHARLES, LA 70605-4241
(337) 477-7733
(337) 477-6996
Mailing address
1505 W MCNEESE ST, LAKE CHARLES, LA 70605-4241
(337) 477-7733
(337) 477-6996
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
08/10/2024
Last updated
09/23/2024
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