| NPI | 1053315788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E BACHO Part Owner, Iv Manager, Pharmacist 304-252-6332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2024-06-03 |