| NPI | 1225603830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA R. LARSEN Delegated Official 214-542-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 251F00000X Home Infusion |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |