Thrif T Way Pharmacy of Louisiana Opelousas South Inc

Organization Active NPI Community/Retail Pharmacy · Opelousas, LA

NPI 1720176449 · NPPES record last updated Jun 24, 2016

Key facts

NPI
1720176449
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PHY.004433-IR (LA)
Legal business name
THRIF T WAY PHARMACY OF LOUISIANA OPELOUSAS SOUTH INC
Practice address
2961 S Union St
Opelousas, LA 70570-5740
Phone
(337) 948-7900
Fax
(337) 942-1535
NPI assigned
Oct 10, 2006
Organization subpart
No

Authorized official

Name
Carl Savoie, BS PHARMACY
Title
Owner
Phone
(337) 948-7900

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180928001780 LA Part B Supplier - Mass Immunization (Roster Biller Only) 7810017944 Practice locations: Opelousas, LA

National Provider Directory

Locations

2961 S Union St
Opelousas, LA 70570
Phone (337) 948-7900

2961 S Union St
#P
Opelousas, LA 70570
Phone (337) 948-7900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.004433-IR LA Yes
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2961 S Union St
Opelousas, LA 70570-5740

Mailing address

2961 S Union St
Opelousas, LA 70570-5740
Phone (337) 948-7900

Other identifiers

IdentifierTypeStateIssuer
1257010MedicaidLA
2032200OtherPK
1274313MedicaidLA

Other names

  • CARLS THRIFTY WAY PHARMACY Doing business as

Other providers in Opelousas, LA

All providers in Opelousas, LA · Community/Retail Pharmacy in Louisiana

Sources for this page

Verify at the official NPI Registry.