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Contact Information

GREENSBURG FAMILY PHARMACY LLC
6166 HWY 10
GREENSBURG, LA70441
 Phone: 225-222-4279
 Fax: 225-222-4043
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GREENSBURG FAMILY PHARMACY LLC

NPI Number 1174863344
LBN Legal business name GREENSBURG FAMILY PHARMACY LLC
Authorized official MICHAEL TINNERELLO - (MANAGER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2013
Last updated 07/22/2020 - About 6 years ago
Identifiers
LA License # PHY.006667-IR
LA Medicaid 2201930
Other 2139160 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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