Organization
AIGPHARM LLC
Active
Other names
Port Barre Drug Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL AIGBEFOH (MANAGER)
(337) 889-3795
Entity
Organization
Contact information
Practice address
17695 U.S. HWY 190, PORT BARRE, LA 70577-5156
(337) 585-2382
(337) 585-2385
Mailing address
616 JEFFERSON BLVD, LAFAYETTE, LA 70501-7206
(378) 893-7953
(337) 889-3796
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210769
—
LA
Enumeration date
11/14/2023
Last updated
05/23/2025
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