Organization · NPI-2
Advanced Specialty Pharmacy
Pharmacy, Home Infusion Therapy Pharmacy · Lafayette, LA
NPI number1487696266
StatusActive
Last updated in NPPESAug 6, 2009
Details
- NPI
- 1487696266
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Specialty Pharmacy
- Organization subpart
- No
- Enumeration date
- Jun 13, 2006
- Last updated
- Aug 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | 5601 | LA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 332BD1200X | Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | – | – | |
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | – | – | |
| 332BN1400X | Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Advanced Specialty Pharmacy (Doing Business As)
Practice location
719 Coolidge StLafayette, LA 70503-2309
Phone 337-264-0301 · Fax 337-264-0307
Mailing address
719 Coolidge StLafayette, LA 70503-2309
Phone 337-264-0301 · Fax 337-264-0307
Authorized official
Randy Dauzat
Pharmacy Manger
3372640301
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