| NPI | 1215114350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WEST CEO 505-266-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2009-08-13 |