| NPI | 1023192390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER LAWRENCE KATEN CFO 772-631-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: UT 3653828913) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 8498055-1704) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: UT 3653821704) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: UT 3653828913) | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-07-02 |