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Contact Information

ELBA MEDICAL DISTRIBUTORS INC
5208 VETERANS BLVD
METAIRIE, LA70006
 Phone: 504-889-7070
 Fax: 504-889-7060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ELBA MEDICAL DISTRIBUTORS INC

NPI Number 1285711390
LBN Legal business name ELBA MEDICAL DISTRIBUTORS INC
Authorized official DAISY DIMAGGIO - (VICE PRESIDENT DIRECTOR OF OPERATIO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 08/12/2022 - About 4 years ago
Identifiers
LA License # 2670IR
LA Medicaid 1260932
LA Other 5CY65 MEDICARE/PART B PTAN
LA Other 19-24681 NCPDP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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