Thrift-town Healthmart, Llc, NPI 1093223323
Long Term Care Pharmacy in Amite, LA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1093223323
NPI Entity Type Organization
Provider Name Thrift-town Healthmart, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 512 N 2nd St, Amite, LA, US
Provider Mailing Address Po Box 918, Amite, LA, US, 704220918
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name RPH Evans Ray Glasgow JR.
Official Position OWNER/PHARMACIST
Phone 985-748-8191

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 6164
License State LA
Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other Organization Name

Thrift-Town HealthMart Pharmacy LTC
Doing Business As

Business Address

Thrift-town Healthmart, Llc
512 N 2nd St

Amite, LA, US

Phone: 985-748-8191
Fax: 985-748-5766

Mailing Address

Thrift-town Healthmart, Llc
Po Box 918
Amite, LA, US
ZIP 704220918
Phone: 985-748-8191
Fax: 985-748-5766

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

333600000X

Suppliers

Pharmacy

No

3336C0003X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1235245 LA MEDICAID 05
2175570 PK 01

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