Organization
PAULETTE BENINATE
Active
Organization
PAULETTE BENINATE
Active
Other names
IV SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE M BENINATE RPH (OWNER/PHARMACIST)
(504) 394-9037
Entity
Organization
Contact information
Practice address
1581 CAROL SUE AVE, SUITE E, GRETNA, LA 70056-5100
(504) 394-9037
(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
251F00000X
Home Infusion Agency
Primary
039127 003256
LA
251F00000X
Home Infusion Agency
3256-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06394/07.1
—
MS
05
—
1263303
—
LA
Enumeration date
03/31/2006
Last updated
01/19/2012
Update your record
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