Organization
PONCHATOULA FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA ANTOON (OWNER/MANAGER)
(985) 345-4767
Entity
Organization
Contact information
Practice address
19008 HIGHWAY 22, PONCHATOULA, LA 70454-6780
(985) 386-6556
(985) 386-6552
Mailing address
1812 W THOMAS ST, HAMMOND, LA 70401-2945
(985) 345-4767
(985) 345-4768
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208748
—
LA
Enumeration date
07/07/2021
Last updated
02/21/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up