Provider Demographics
NPI:1225671001
Name:A & A INFUSION & SPECIALTY, LLC
Entity Type:Organization
Organization Name:A & A INFUSION & SPECIALTY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-580-0020
Mailing Address - Street 1:2044 HIGHWAY 1 S
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38701-7806
Mailing Address - Country:US
Mailing Address - Phone:662-580-0020
Mailing Address - Fax:662-537-4953
Practice Address - Street 1:124 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:BELZONI
Practice Address - State:MS
Practice Address - Zip Code:39038-3642
Practice Address - Country:US
Practice Address - Phone:662-332-0177
Practice Address - Fax:662-537-4953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy