| NPI | 1134136195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER LAWRENCE KATEN CFO 772-631-3140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CO PDO-401) |
| Additional Taxonomies | 251E00000X Home Health |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2025-01-13 |