NPI | 1063423614 |
---|---|
Doing Business As | NUCARA PHARMACY #17 |
Entity Type | Organization |
Authorized Contact | LORI ANN WILLIS Acquisitions Manager 641-366-3440 |
Organization Subpart ? | No |
Primary Taxonomy | 251F00000X Home Infusion |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 28221) |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
333600000X Pharmacy | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2022-11-04 |