NPI | 1205900958 |
---|---|
Entity Type | Organization |
Authorized Contact | PRESTON TOLLEY President 769-233-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
Additional Taxonomies | 251F00000X Home Infusion |
332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MS 06714111) | |
333600000X Pharmacy | |
3336C0004X Pharmacy Compounding Pharmacy | |
3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
3336M0002X Pharmacy Mail Order Pharmacy | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2024-01-30 |