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General NPI Number Information
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NPI Number | 1467366443
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Entity Type | Organization
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Legal Business Name | AIGPHARM LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 17695 US-190
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City | PORT BARRE
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State | LA
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Zip | 70577
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Country | US
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Telephone | 337-585-2382
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Fax | 337-585-2385
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Provider Business Mailing Address
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Address Line | PO BOX 551
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City | PORT BARRE
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State | LA
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Zip | 70577-0551
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Country | US
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Telephone | 337-585-2382
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Fax | 337-585-2385
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Authorized Official
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Title or Position | OWNER
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Name | MR. SAMUEL AIGBEFOH
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Credential |
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Telephone | 443-540-4597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State | NULL
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