| NPI | 1043646805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARA PATEL President 877-828-3940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA PHY.006202) |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: LA PHY.006202) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: LA PHY.006202) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2025-06-03 |