| NPI | 1205900958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY NEELY Director Of Clinical Pharmacy 769-233-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 251F00000X Home Infusion | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2025-10-13 |