Tasda Properties, LLC
Pharmacy, Community/Retail Pharmacy in Franklinton, LA. Organization (NPI-2).
NPI number1356834030
StatusActive
Last updated in NPPESJun 7, 2018
Details
- NPI
- 1356834030
- Entity type
- Organization (NPI-2)
- Legal business name
- Tasda Properties, LLC
- Organization subpart
- No
- Enumeration date
- Jun 7, 2018
- Last updated
- Jun 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY.007688-I | LA | Yes |
Other names
- Ideal Pharmacy (Doing Business As)
Practice location
808 Riverside DrFranklinton, LA 70438-3634
Phone 985-839-4668 · Fax 985-207-4670
Mailing address
Po Box 771Franklinton, LA 70438-0771
Phone 985-839-4668 · Fax 985-207-4670
Authorized official
James Randall Stafford
Owner
9858394668
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