MEDICARE: ALIGN INFUSION OF LOUISIANA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1952991226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIGN INFUSION OF LOUISIANA, LLC

Provider Business Mailing Address
First Line	:	3926 BARRON ST STE C200
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-5799
Country	:	US
Telephone Number	:	504-582-9300
Fax Number	:	504-582-9301

Provider Business Practice Location Address
First Line	:	3926 BARRON ST STE C200
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-5799
Country	:	US
Telephone Number	:	504-582-9300
Fax Number	:	504-582-9301

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DARVIS K HARVEY
Credential	:
Telephone Number	:	225-622-0445

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	01/21/2021

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