Organization
SPRINGFIELD DRUG STORE LLC
Active
Organization
SPRINGFIELD DRUG STORE LLC
Active
Other names
Springfield Drug Store, SPRINGFIELD DRUGSTORE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EMILE CASANOVA (OWNER)
(225) 294-5045
Entity
Organization
Contact information
Practice address
31696 HIGHWAY 22, SPRINGFIELD, LA 70462-7455
(225) 294-5045
(225) 294-2142
Mailing address
PO BOX 10, SPRINGFIELD, LA 70462-0010
(225) 294-5045
(225) 294-2142
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.002526-IR
LA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1260274
—
LA
01
—
2029193
PK
—
05
—
2206427
—
LA
Enumeration date
09/06/2006
Last updated
06/23/2025
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