Organization
PONCHATOULA FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA ANTOON (OWNER/MANAGER)
(985) 514-3173
Entity
Organization
Contact information
Practice address
19008 HIGHWAY 22, PONCHATOULA, LA 70454-6780
(985) 386-6556
(985) 386-6552
Mailing address
1812 W THOMAS ST, HAMMOND, LA 70401-2945
(985) 345-4767
(985) 345-4768
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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