Organization
THRIFTY WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L GODAIR RPH (PHARMACIST IN CHARGE)
(337) 239-3474
Entity
Organization
Contact information
Practice address
1019 W FERTITTA BLVD, LEESVILLE, LA 71446-4646
(337) 239-3474
(337) 238-2575
Mailing address
186 LEANDER LN, OPELOUSAS, LA 70570-0660
(337) 942-2058
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
7001
LA
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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