Organization
MILLS CASHWAY PHARMACY INC
Active
Other names
MILLS CASHWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAMI BRIGNAC RPH (MANAGER)
(337) 845-5199
Entity
Organization
Contact information
Practice address
1027 MARTIN ST, PARKS, LA 70582-6255
(337) 845-5199
(337) 845-5070
Mailing address
1027 MARTIN ST, PARKS, LA 70582-6255
(337) 845-5199
(337) 845-5070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.001641-IR
LA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1253251
—
LA
01
—
2031002
PK
—
Enumeration date
04/25/2006
Last updated
10/10/2016
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