| NPI | 1225747850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAN F IBRAHIM Consultant Pharmacist 551-208-6761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |