Healthcare Provider Details

I. General information

NPI: 1174708127
Provider Name (Legal Business Name): BIOPLUS SPECIALTY PHARMACY LA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2731 MANHATTAN BLVD STE B17
HARVEY LA
70058-6151
US

IV. Provider business mailing address

2731 MANHATTAN BLVD STE B17
HARVEY LA
70058
US

V. Phone/Fax

Practice location:
  • Phone: 504-355-4191
  • Fax: 504-355-4192
Mailing address:
  • Phone: 504-355-4191
  • Fax: 504-355-4192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPHY.006884-IR
License Number StateLA

VIII. Authorized Official

Name: ASHLEY SHEEHAN
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 855-733-3126