Provider Demographics
NPI:1205302254
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:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:662-332-0177
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:662-332-0177
Mailing Address - Fax:662-537-4953
Practice Address - Street 1:423 MCALLISTER ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701-4704
Practice Address - Country:US
Practice Address - Phone:662-332-0177
Practice Address - Fax:662-537-4953
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A & A INFUSION & SPECIALTY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy