Organization
DUTCHTOWN PHARMACY L L C
Active
Other names
DUTCHTOWN PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE TINNERELLO (MANAGER/OWNER)
(985) 320-5175
Entity
Organization
Contact information
Practice address
13011 HIGHWAY 73, GEISMAR, LA 70734-3021
(225) 677-5070
(225) 673-5060
Mailing address
1812 W THOMAS ST, HAMMOND, LA 70401-2945
(225) 677-5070
(225) 673-5060
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-005662-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035369
PK
—
Enumeration date
06/20/2006
Last updated
03/11/2014
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