Healthcare Provider Details

I. General information

NPI: 1821756446
Provider Name (Legal Business Name): HIV/AIDS ALLIANCE FOR REGION TWO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 NORTH BLVD
BATON ROUGE LA
70806-3825
US

IV. Provider business mailing address

3801 NORTH BLVD
BATON ROUGE LA
70806-3825
US

V. Phone/Fax

Practice location:
  • Phone: 225-655-6422
  • Fax:
Mailing address:
  • Phone: 225-206-8466
  • Fax: 225-206-8465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAWN BEASLEY
Title or Position: SENIOR VICE PRESIDENT AND COO
Credential:
Phone: 225-800-1325