| NPI | 1215966205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY DOUGLAS BOHART President 949-660-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: CA phy 43383) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY 43383) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2015-04-23 |