Organization Name: | ACADIANA PHARMACEUTICAL MEDICAL LLC |
NPI Number: | 1457348641 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT REYBURN ROBERTS (DIRECTOR OF PHARMACY LLC MEMBER) |
Mailing Address: | 22203 A Hwy 59 Robertsdale |
State: | AL US |
Postal Code: | 36567 |
Phone Number: | 2519451540 |
Fax Number: | 2519451542 |
NPI Enumeration Date: | 10/03/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |