Thrifty Way Pharmacy #2

LBN: Thrifty Way Pharmacy Of Deridder Inc No 2
Thrifty Way Pharmacy #2 is an health care organization with primary practice located at 601 S Pine St , Deridder LA 70634-4941. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Thrifty Way Pharmacy Of Deridder Inc No 2 can be contacted via phone (337) 463-7442, or through Roy, Mike via phone (800) 430-3784.

Contact Information

Primary practice address
601 S Pine St Deridder LA 70634-4941
Phone: (337) 463-7442
Fax: (337) 462-0362
Website:
Map and Directions
Authorized official contact:
Name: Roy, Mike
Phone: (800) 430-3784

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY001316IR Louisiana

Profile Details

NPI number 1003827510
LBN Legal business name Thrifty Way Pharmacy Of Deridder Inc No 2
DBA Doing business as Thrifty Way Pharmacy #2
Authorized official Roy, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Apr 17th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003827510 NPPES
Louisiana MEDICAID 1216917
Louisiana Other 2030865

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