Organization
IV SERVICES LLC
Active
Other names
IV SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE BENINATE RPH (OWNER)
(504) 394-9037
Entity
Organization
Contact information
Practice address
1581 CAROL SUE AVE, SUITE E, GRETNA, LA 70056-5100
(504) 392-0973
(504) 392-0973
Mailing address
1581 CAROL SUE AVE, SUITE E, GRETNA, LA 70056-5100
(504) 394-9037
(504) 392-0973
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3256IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2201123
—
LA
Enumeration date
08/29/2007
Last updated
10/12/2012
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