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1184798563 NPI number — THRIFT VILLAGE DRUGS

NPI Number: 1184798563
Health Care Provider/Practitioner: THRIFT VILLAGE DRUGS

Information about “1184798563” NPI (THRIFT VILLAGE DRUGS) exists in 1184798563 in HTML format HTML  |  1184798563 in plain Text format TXT  |  1184798563 in PDF (Portable Document Format) PDF  |  1184798563 in an XML format XML  formats.

NPI Number : 1184798563 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184798563",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THRIFT VILLAGE DRUGS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 26",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LULING",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70070-0026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "737 PAUL MAILLARD RD",
    "SecondLinePracticeLocationAddress": "STE C",
    "PracticeLocationAddressCityName": "LULING",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70070",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "985-785-6213",
    "PracticeLocationAddressFaxNumber": "985-785-6575",
    "EnumerationDate": "11/20/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VIAL",
    "AuthorizedOfficialFirstName": "STEPHEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RPH",
    "AuthorizedOfficialTelephoneNumber": "985-785-6213",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": "1119IR",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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