Organization
MANNINOS FAMILY PRACTICE PHARMACY INC
Active
Other names
Mannino's Family Practice Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MANNINO RPH (OWNER PRESIDENT)
(985) 542-8466
Entity
Organization
Contact information
Practice address
113 W CHARLES ST, HAMMOND, LA 70401-3232
(985) 542-8466
(985) 542-2561
Mailing address
PO BOX 1442, HAMMOND, LA 70404-1442
(985) 542-8466
(985) 542-2561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.001825IR
LA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1254771
—
LA
01
—
2031172
PK
—
Enumeration date
07/30/2006
Last updated
09/30/2016
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