| NPI | 1174672604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SORENSEN Chief Financial Officer 609-484-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NJ 28RS00649800) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RS00649800) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: NJ 28RS00649800) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: NJ 28RS00649800) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2010-11-22 |