| NPI | 1164536025 |
|---|---|
| Doing Business As | MARY BRIDGE INFUSION AND SPECIALTY SERVICES |
| Entity Type | Organization |
| Authorized Contact | VINCE SCHMITZ CFO 253-459-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WA PHAR.CF.00056243) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WA IHS.FS.00000372) |
| 251F00000X Home Infusion | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WA PHAR.CF.00056243) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: WA BM6171588) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-07-12 |