# ELBA MEDICAL DISTRIBUTORS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patio Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285711390
- **Authorized official:** MRS. DAISY G DIMAGGIO RPH (VICE PRESIDENT DIRECTOR OF OPERATIO)
- **Authorized official phone:** (504) 780-8455

## Contact information

- **Practice address:** 5208 VETERANS BLVD, METAIRIE, LA 70006
- **Practice address phone:** (504) 889-7070
- **Practice address fax:** (504) 889-7060
- **Mailing address:** 5208 VETERANS BLVD, METAIRIE, LA 70006
- **Mailing address phone:** (504) 889-7070
- **Mailing address fax:** (504) 889-7060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 2670IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | 2670IR | LA | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | 2670IR | LA | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/12/2022
