Organization
HALOCARE SPECIALTY THERAPEUTICS, LLC
Active
Other names
Paragon Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MOLLICA (CEO)
(972) 588-1000
Entity
Organization
Contact information
Practice address
34972 OLD LA HIGHWAY 16 STE A, DENHAM SPRINGS, LA 70706-0573
(225) 791-4225
(225) 243-7957
Mailing address
34972 OLD LA HIGHWAY 16 STE A, DENHAM SPRINGS, LA 70706-0573
(225) 791-4225
(225) 243-7957
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
006842
LA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08679218
—
MS
05
—
2202511
—
LA
01
—
PHY044485
CDS
LA
Enumeration date
11/19/2013
Last updated
10/26/2023
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