| NPI | 1053382770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TANZINI Member 208-376-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: ID 1980LS) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-19 |