NPI | 1205401338 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE JEANNE VAUGHAN Chief Operations Officer 951-375-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 251F00000X Home Infusion |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
Enumeration Date | 2021-05-21 |
Last Update Date | 2021-10-25 |