Organization Name: | MOM & POPS FAMILY PHARMACY |
NPI Number: | 1194902528 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERROL ANTHONY DUPLANTINS (PHARMACIST/OWNER) |
Mailing Address: | 233 S Main St Springhill |
State: | LA US |
Postal Code: | 710753207 |
Phone Number: | 3185396337 |
Fax Number: | 3185781096 |
NPI Enumeration Date: | 01/29/2008 |
NPI Last Update Date: | 12/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 15751 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |