| NPI | 1053400960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA A SMITH VP Accreditation And Reg Affairs 515-557-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 5055) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: SD 400-0298) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NE 157) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IA 11) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MN 265172) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MO 2015028128) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: AZ Y007085) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WI 258-43) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IL 54.015478) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-12-31 |