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Organization

FAMILYRX LLC

Active
Other names
THRIFT VILLAGE DRUGS
Organization subpart
No

Provider details

NPI number
Authorized official
LISA PRESTENBACH (MEMBER)
(985) 447-3746
Entity
Organization

Contact information

Practice address
737 PAUL MAILLARD RD, STE C, LULING, LA 70070
(985) 785-6213
(985) 785-6575
Mailing address
1772 CANAL BLVD, THIBODAUX, LA 70301-5238
(985) 447-3746
(985) 449-7521

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY.007424-IR
LA
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2164132
PK
Enumeration date
10/03/2016
Last updated
04/11/2017
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