| NPI | 1891700431 |
|---|---|
| Doing Business As | MANNINO'S FAMILY PRACTICE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD MANNINO Owner President 985-542-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.001825IR) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-09-30 |