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Organization

THRIFTY WAY OF LAKE CHARLES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNY T. NASH RPH (PHARMACY MANAGER)
(337) 433-1429
Entity
Organization

Contact information

Practice address
1001 3RD AVENUE, LAKE CHARLES, LA 70601
(337) 433-1429
(337) 433-9971
Mailing address
1001 3RD AVENUE, LAKE CHARLES, LA 70601
(337) 433-1429
(337) 433-9971

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
006031
LA
3336C0003X
Community/Retail Pharmacy
6031IR
LA
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1234567
LA
01
1906924
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
09/20/2006
Last updated
07/13/2011
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