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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