Provider Demographics
NPI:1073645008
Name:NATIONAL PHARMACY ACQUISTION LLC
Entity Type:Organization
Organization Name:NATIONAL PHARMACY ACQUISTION LLC
Other - Org Name:NATIONAL INFUSION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEBOUEF
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-766-7828
Mailing Address - Street 1:5344 BRITTANY DR STE A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4344
Mailing Address - Country:US
Mailing Address - Phone:225-766-7828
Mailing Address - Fax:225-766-7830
Practice Address - Street 1:5344 BRITTANY DR STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4344
Practice Address - Country:US
Practice Address - Phone:225-766-7828
Practice Address - Fax:225-766-7830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
LA46633336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2035288OtherPK
LA1268691Medicaid
LA1268691Medicaid
1932436OtherOTHER ID NUMBER-COMMERCIAL NUMBER