| NPI | 1144705039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS E ULM Owner 702-577-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 251E00000X Home Health |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-07-14 |