Organization
PORET'S THRIFTY WAY PHARMACY, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY RUSSELL PORET B.S. (OWNER PHARMACIST)
(318) 876-2104
Entity
Organization
Contact information
Practice address
1007 SYCAMORE ST, SUITE A, COTTONPORT, LA 71327-3403
(318) 876-2104
(318) 876-3964
Mailing address
PO BOX 127, COTTONPORT, LA 71327-0127
(318) 876-2104
(318) 876-3964
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10986
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235512
—
LA
01
—
1902736
NCPDP
LA
Enumeration date
12/12/2006
Last updated
07/24/2015
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