| NPI | 1013784305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYNN RECINE Director Of Rcm 888-822-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |