Provider Demographics
NPI:1326705229
Name:MORESI APOTHECARY SHOPPE INC
Entity Type:Organization
Organization Name:MORESI APOTHECARY SHOPPE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HEATH
Authorized Official - Last Name:MORESI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:337-258-8700
Mailing Address - Street 1:201 E. BRIDGE ST.
Mailing Address - Street 2:
Mailing Address - City:ST. MARTINVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70582
Mailing Address - Country:US
Mailing Address - Phone:337-394-8087
Mailing Address - Fax:337-394-8063
Practice Address - Street 1:201 E. BRIDGE ST.
Practice Address - Street 2:
Practice Address - City:ST. MARINVILLE
Practice Address - State:LA
Practice Address - Zip Code:70582
Practice Address - Country:US
Practice Address - Phone:337-394-8087
Practice Address - Fax:337-394-8063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-26
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy