Organization
PEGASUS BIOLOGICS, LLC
Active
Other names
Pegasus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE BLALOCK TESTA (OWNER)
(504) 281-4408
Entity
Organization
Contact information
Practice address
5700 CITRUS BLVD, SUITE D, HARAHAN, LA 70123-5813
(504) 281-4408
Mailing address
5700 CITRUS BLVD, SUITE D, HARAHAN, LA 70123-5813
(504) 281-4408
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006999-IR
LA
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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