Organization
ELBA MEDICAL DIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAISY G. DIMAGGIO RPH (VICE PRESIDENT DIRECTOR OF OPERATIO)
(504) 780-8455
Entity
Organization
Contact information
Practice address
5204 VETERANS BLVD, METAIRIE, LA 70006
(504) 889-9654
(504) 889-6635
Mailing address
5208 VETERANS MEMORIAL BLVD, METAIRIE, LA 70006-5123
(504) 889-7070
(504) 889-7060
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
4360IR
LA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234222
—
LA
01
—
19-29629
NCPDP NUMBER
LA
Enumeration date
11/01/2006
Last updated
08/19/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up