| NPI | 1114773132 |
|---|---|
| Doing Business As | HAVEN HOME CANCER SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHARLES OAXACA HALL President And Pharmacist In Charge 801-604-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 251F00000X Home Infusion |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-09-17 |