| NPI | 1073880159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH HARTMAN COO 800-665-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2025-09-22 |