Organization
MEDI-THRIFT DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSEPH COSTANZA (PRESIDENT)
(318) 758-5621
Entity
Organization
Contact information
Practice address
302 BUSHLEY ST, HARRISONBURG, LA 71340
(318) 744-5617
(318) 744-5368
Mailing address
PO BOX 205, HARRISONBURG, LA 71340
(318) 744-5617
(318) 744-5368
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
9412
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1228419
—
LA
Enumeration date
07/08/2006
Last updated
06/09/2025
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