Organization
PEGASUS BIOLOGICS LLC
Active
Other names
Pegasus Biologics Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE TESTA (PIC)
(504) 281-4408
Entity
Organization
Contact information
Practice address
5700 CITRUS BLVD STE D, NEW ORLEANS, LA 70123-8501
(504) 281-4408
(504) 301-1692
Mailing address
5700 CITRUS BLVD STE D, NEW ORLEANS, LA 70123-8501
(504) 281-4408
(504) 301-1692
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006999-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149211
PK
—
05
—
2203258
—
LA
Enumeration date
07/11/2014
Last updated
02/20/2015
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