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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
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