| NPI | 1003796889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN PULSIPHER CFO / Treasurer 916-478-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |