| NPI | 1144284209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NJ 28RS00625900) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NY 028081) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: CT PCN.0000981) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: DE A9-0000757) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: OH 02-1849200) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2024-04-22 |