Organization
TONY'S PHARMACY INC
Active
Other names
SOUTHSIDE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LAMARCA RPH (OWNER)
(318) 322-7106
Entity
Organization
Contact information
Practice address
1510 S 2ND ST, MONROE, LA 71202-2742
(318) 322-7106
(318) 322-7108
Mailing address
1510 S 2ND ST, MONROE, LA 71202-2742
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
003128
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262706
—
LA
01
—
1900453
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/25/2006
Last updated
03/18/2008
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