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Contact Information

ADVANCED SPECIALTY PHARMACY
719 COOLIDGE ST
LAFAYETTE, LA70503-2309
 Phone: 337-264-0301
 Fax: 337-264-0307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Dialysis Equipment & Supplies

332BD1200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ADVANCED SPECIALTY PHARMACY

NPI Number 1487696266
LBN Legal business name ADVANCED SPECIALTY PHARMACY
Authorized official RANDY DAUZAT - (PHARMACY MANGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2006
Last updated 08/06/2009 - About 17 years ago
Identifiers
LA License # 5601
Other 1932741 NCPDP PROVIDER IDENTIFICATION 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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