# GULF STATES HEALTH PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RX 2 GEAUX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801209051
- **Authorized official:** NIZAR ALIKHAN (CREDENTIALING CONTACT,AO)
- **Authorized official phone:** (215) 888-8099

## Contact information

- **Practice address:** 7855 HOWELL BLVD STE 160, BATON ROUGE, LA 70807-5257
- **Practice address phone:** (855) 360-1446
- **Practice address fax:** (888) 489-3558
- **Mailing address:** 5710 LBJ FWY, SUITE 325, DALLAS, TX 75240-6324
- **Mailing address phone:** (214) 888-8099
- **Mailing address fax:** (214) 261-2217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.007095-IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 01/19/2017
