Healthcare Provider Details

I. General information

NPI: 1467366443
Provider Name (Legal Business Name): AIGPHARM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17695 US-190
PORT BARRE LA
70577
US

IV. Provider business mailing address

PO BOX 551
PORT BARRE LA
70577-0551
US

V. Phone/Fax

Practice location:
  • Phone: 337-585-2382
  • Fax: 337-585-2385
Mailing address:
  • Phone: 337-585-2382
  • Fax: 337-585-2385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. SAMUEL AIGBEFOH
Title or Position: OWNER
Credential:
Phone: 443-540-4597