Organization
THOMAS J ENTERPRISES INC
Active
Other names
THOMAS J PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAU TRAN (PIC)
(504) 274-9972
Entity
Organization
Contact information
Practice address
401 WESTBANK EXPY, SUITE 101, GRETNA, LA 70053-5642
(504) 267-3029
(504) 267-3409
Mailing address
11436 S SAINT ANDREWS CIR, CIRCLE, NEW ORLEANS, LA 70128-5220
(504) 274-9972
(504) 267-3409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 004212-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266981
—
LA
01
—
1928918
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/20/2006
Last updated
12/10/2010
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