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AXUM MEDICAL SUPPLIES LLC. NPI 1881146975


NPI Information

NPI: 1881146975
Provider Name: AXUM MEDICAL SUPPLIES LLC.

Doing Business As: AXUM PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
721 W 5TH ST
LA PLACE, LA
ZIP 70068
Phone: (985) 359-5251
Get Directions

AXUM MEDICAL SUPPLIES LLC. is a long term care pharmacy pharmacy in La Place, LA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. AXUM MEDICAL SUPPLIES LLC. NPI is 1881146975. The provider is registered as an organization entity type.
The provider Is Doing Business As Axum Pharmacy.

The provider's business location address is:

721 W 5TH ST
LA PLACE, LA
ZIP 70068-504
Phone: (985) 359-5251
Fax: (985) 359-5252

The provider's authorized official is Mark Murphy .
The authorized official title is Owner/ao and has the following contact phone number (504) 390-2564.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336I0012XPharmacyInstitutional PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyPHY007408IRLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12205285MEDICAIDLOUISIANA
22165794OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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