Advanced Specialty Pharmacy
Organization Active NPI Home Infusion Therapy Pharmacy · Lafayette, LA
NPI 1487696266 · NPPES record last updated Aug 6, 2009
Key facts
- NPI
- 1487696266
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Infusion Therapy Pharmacy 3336H0001X
- License
- 5601 (LA)
- Legal business name
- ADVANCED SPECIALTY PHARMACY
- Practice address
- 719 Coolidge St
Lafayette, LA 70503-2309 - Phone
- (337) 264-0301
- Fax
- (337) 264-0307
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Randy Dauzat, RPH
- Title
- Pharmacy Manger
- Phone
- (337) 264-0301
National Provider Directory
Locations
719 Coolidge St
Lafayette, LA 70503
Phone (337) 264-0301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Pharmacy | 333600000X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | 5601 | LA | Yes |
Addresses
Primary practice location
719 Coolidge St
Lafayette, LA 70503-2309
Mailing address
719 Coolidge St
Lafayette, LA 70503-2309
Phone (337) 264-0301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932741 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- ADVANCED SPECIALTY PHARMACY
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All providers in Lafayette, LA · Home Infusion Therapy Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.