Organization
THRIFTY WAY PHARMACY OF MAMOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIT JAIN (CEO)
(337) 468-7111
Entity
Organization
Contact information
Practice address
704 POINCIANA AVE, MAMOU, LA 70554-2224
(337) 468-7111
(337) 468-2111
Mailing address
704 POINCIANA AVE, MAMOU, LA 70554-2224
(337) 468-7111
(337) 468-2111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY005901IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1254304
—
LA
01
—
2031165
PK
—
Enumeration date
06/01/2007
Last updated
12/13/2017
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