| NPI | 1093179509 |
|---|---|
| Doing Business As | MK INFUSION PHARMACY, LLC. |
| Entity Type | Organization |
| Authorized Contact | MISSY MONTGOMERY Clinical Pharmacist / CEO 256-320-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: AL 114617) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MS 14795/7.1) |
| 333600000X Pharmacy (Licence: TN 0000005791) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-12-15 |