Organization
ALFRED RICHARD'S THRIF-T-WAY PHARMACY OF OPELOUSAS, INC
Active
Other names
Al's Thrifty Way Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANNON G. BROUILLETTE RPH (PHARMACIST-IN-CHARGE)
(337) 942-2653
Entity
Organization
Contact information
Practice address
1406 W LANDRY ST, OPELOUSAS, LA 70570-2623
(337) 942-2653
(337) 942-8490
Mailing address
1406 W LANDRY ST, OPELOUSAS, LA 70570-2623
(337) 942-2653
(337) 942-8490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007302-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1241148
—
LA
Enumeration date
11/06/2006
Last updated
04/18/2016
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