Organization
TERSCO LLC
Active
Other names
CASTELLON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BENINATO RPH (OWNER)
(504) 866-3784
Entity
Organization
Contact information
Practice address
8232 OAK ST, NEW ORLEANS, LA 70118-2042
(504) 866-3784
(504) 866-9893
Mailing address
8232 OAK ST, NEW ORLEANS, LA 70118-2042
(504) 866-3784
(504) 866-9902
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5088IR
LA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1270911
—
LA
01
—
2032490
PK
—
Enumeration date
06/28/2005
Last updated
10/07/2016
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