| NPI | 1104590595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY Chief Financial Officer 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-12-22 |