Ponchatoula Family Pharmacy LLC
NPI #1477725638 in Ponchatoula, Louisiana
Provider Information
- NPI Number
- 1477725638
- Entity Type
- Organization
- Organization Name
- Ponchatoula Family Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 28, 2008
- Last Updated
- Nov 12, 2019
Practice Location
- Address
- 19008 HIGHWAY 22
- City
- Ponchatoula
- State
- Louisiana
- ZIP Code
- 70454-6780
- Phone
- (985) 386-6556
Authorized Official
- Name
- ANTHONY GERALD MERCANTE
- Title
- PHARMACIST
- Phone
- (985) 386-0361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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