Provider Demographics
NPI:1407620941
Name:AIGPHARM LLC
Entity Type:Organization
Organization Name:AIGPHARM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AIGBEFOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-889-3795
Mailing Address - Street 1:616 JEFFERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-7206
Mailing Address - Country:US
Mailing Address - Phone:378-893-7953
Mailing Address - Fax:337-889-3796
Practice Address - Street 1:17695 U.S. HWY 190
Practice Address - Street 2:
Practice Address - City:PORT BARRE
Practice Address - State:LA
Practice Address - Zip Code:70577-5156
Practice Address - Country:US
Practice Address - Phone:337-585-2382
Practice Address - Fax:337-585-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy