NPI | 1346071461 |
---|---|
Doing Business As | THRIFTY WAY PHARMACY OF LAKE CHARLES |
Entity Type | Organization |
Authorized Contact | GLYNDA FUSELIER Managing Member 318-715-0015 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2024-08-10 |
Last Update Date | 2024-09-23 |